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1174728109
JACKIE L DEAN
SPRINGFIELD, MO
NPI
1174728109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 2007015262)
Enumeration Date
2007-06-19
Last Update Date
2019-03-22
Business Address
Dr. JACKIE L DEAN PsyD, LP
930 S ROBBERSON AVE
SPRINGFIELD, MO 65806-3220
Phone number: 417-761-5540
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Mailing Address
Dr. JACKIE L DEAN PsyD, LP
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
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