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1184061871
MICAH NICOLE DISBROW
SAINT JAMES, MO
NPI
1184061871
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Former Name
MICAH NICOLE SARVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2013011886)
Enumeration Date
2013-06-04
Last Update Date
2016-09-06
Business Address
-- MICAH NICOLE DISBROW LPC
13160 COUNTRY ROAD 3610
SAINT JAMES, MO 65559-0189
Phone number: 573-265-3251
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Mailing Address
-- MICAH NICOLE DISBROW LPC
10220 SUMMERFIELD DR
ROLLA, MO 65401-8203
Phone number: 319-461-7177
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