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1134497548
EDWARD RAY DERR
SPRINGFIELD, MO
NPI
1134497548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2005040692)
Enumeration Date
2011-12-13
Last Update Date
2011-12-13
Business Address
Mr. EDWARD RAY DERR LPC, NCC
926 S DEVONSHIRE DR
SPRINGFIELD, MO 65802-2721
Phone number: 417-848-1849
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Mailing Address
Mr. EDWARD RAY DERR LPC, NCC
926 S DEVONSHIRE DR
SPRINGFIELD, MO 65802-2721
Phone number: 417-848-1849
Copy
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