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1487136156
ELIZABETH LEUTHOLD
LEBANON, MO
NPI
1487136156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 2018030707)
Enumeration Date
2018-08-30
Last Update Date
2019-04-02
Business Address
ELIZABETH LEUTHOLD PhD
860 LYNN ST
LEBANON, MO 65536-3810
Phone number: 888-403-1071
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Mailing Address
ELIZABETH LEUTHOLD PhD
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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