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1164015673
LARISSA CHANDRIMA KAIULANI PROCTOR
UNION, MO
NPI
1164015673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2021005305)
Enumeration Date
2021-02-16
Last Update Date
2023-02-08
Business Address
LARISSA CHANDRIMA KAIULANI PROCTOR LPC
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084-3397
Phone number: 888-403-1071
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Mailing Address
LARISSA CHANDRIMA KAIULANI PROCTOR LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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