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1215081153
FRED I DUDENHOEFFER
JEFFERSON CITY, MO
NPI
1215081153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 1999137153)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mr. FRED I DUDENHOEFFER M.ED, LPC
129 E HIGH ST APT A
JEFFERSON CITY, MO 65101-5401
Phone number: 573-690-2553
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Mailing Address
Mr. FRED I DUDENHOEFFER M.ED, LPC
PO BOX 2168
JEFFERSON CITY, MO 65102-2168
Phone number: 573-690-2553
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