HOLLY LEE DIVIN-DECKARD

OZARK, MO
NPI1538202171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2006029148)
Enumeration Date2007-02-14
Last Update Date2007-07-09
Business Address
Mrs. HOLLY LEE DIVIN-DECKARD plpc
6007 N 21ST ST
OZARK, MO 65721-7634
Phone number: 417-581-6911
Mailing Address
Mrs. HOLLY LEE DIVIN-DECKARD plpc
4623 S 149TH RD
BOLIVAR, MO 65613-8545
Phone number: 417-326-2611