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1205989688
MARY ELLEN DEGNAN
COLUMBIA, MO
NPI
1205989688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MO PY01517)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- MARY ELLEN DEGNAN Ph.D.
108 E GREEN MEADOWS RD STE 5
COLUMBIA, MO 65203-3633
Phone number: 573-874-5188
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Mailing Address
-- MARY ELLEN DEGNAN Ph.D.
1605 W HIGH POINT LN
COLUMBIA, MO 65203-8942
Phone number: 573-445-2754
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