MARISSA L FORT-CONRAD

WEBB CITY, MO
NPI1306655022
Former NameMARISSA L FORT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2023005080)
Enumeration Date2025-01-07
Last Update Date2025-01-07
Business Address
MARISSA L FORT-CONRAD NCC, LPC
1328 W BROADWAY ST STE 2
WEBB CITY, MO 64870-1620
Phone number: 417-719-1407
Mailing Address
MARISSA L FORT-CONRAD NCC, LPC
2712 E SADIE CT
JOPLIN, MO 64801-4821
Phone number: 417-621-5575
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