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1396875787
THADA PULLIAM
BLUE SPRINGS, MO
NPI
1396875787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 1999136662)
Enumeration Date
2007-03-06
Last Update Date
2007-07-09
Business Address
Mrs. THADA PULLIAM LPC
1209 NW R IDGE DR. C
BLUE SPRINGS, MO 64015
Phone number: 816-229-8080
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Mailing Address
Mrs. THADA PULLIAM LPC
619 NE BORDNER DR
LEES SUMMIT, MO 64086-6228
Phone number: 816-554-1415
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