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1417596214
STEPHANIE SUZANNE MARTIN
LEBANON, MO
NPI
1417596214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2022014720)
Enumeration Date
2019-12-27
Last Update Date
2024-07-23
Business Address
STEPHANIE SUZANNE MARTIN LPC
679 W ELM ST STE 2
LEBANON, MO 65536-3587
Phone number: 417-718-7108
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Mailing Address
STEPHANIE SUZANNE MARTIN LPC
PO BOX 51
STOUTLAND, MO 65567-0051
Phone number: 417-718-7108
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