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1124661962
JACQUELINE NICOLE NEWKIRK MATTINGLY
WENTZVILLE, MO
NPI
1124661962
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Former Name
JACQUELINE NICOLE NEWKIRK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2014007644)
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
JACQUELINE NICOLE NEWKIRK MATTINGLY LPC
1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836
Phone number: 888-403-1071
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Mailing Address
JACQUELINE NICOLE NEWKIRK MATTINGLY LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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