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1316159114
KENNETH E CALLIS
CAPE GIRARDEAU, MO
NPI
1316159114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: MO 00699)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- KENNETH E CALLIS PhD
2751 THOMAS DR
CAPE GIRARDEAU, MO 63701-2131
Phone number: 573-334-2889
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Mailing Address
-- KENNETH E CALLIS PhD
2751 THOMAS DR
CAPE GIRARDEAU, MO 63701-2131
Phone number: 573-334-2889
Copy
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