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1326035247
MARK ALLEN LISTON
JOPLIN, MO
NPI
1326035247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO CS000815)
Enumeration Date
2005-10-05
Last Update Date
2013-09-30
Business Address
Mr. MARK ALLEN LISTON LPC
2205 CONNECTICUT AVE
JOPLIN, MO 64804-3021
Phone number: 417-782-1290
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Mailing Address
Mr. MARK ALLEN LISTON LPC
2205 CONNECTICUT AVE
JOPLIN, MO 64804-3021
Phone number: 417-782-1290
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