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1104948769
KENNETH MARK SKOUBY
JEFFERSON CITY, MO
NPI
1104948769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO SW002185)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mr. KENNETH MARK SKOUBY LCSW
515A EAST MCCARTY
JEFFERSON CITY, MO 65101
Phone number: 573-635-2254
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Mailing Address
Mr. KENNETH MARK SKOUBY LCSW
515A EAST MCCARTY SREET
JEFFERSON CITY, MO 65101
Phone number: 573-634-2254
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