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1225346125
DEIDRE L FAIRALL
LEES SUMMIT, MO
NPI
1225346125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 002331)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
-- DEIDRE L FAIRALL LPC
1260 NE WINDSOR DR
LEES SUMMIT, MO 64086-5594
Phone number: 816-347-8777
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Mailing Address
-- DEIDRE L FAIRALL LPC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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