JEREMIAH L. PENROD

NIXA, MO
NPI1568899805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2013-10-01
Last Update Date2013-10-01
Business Address
-- JEREMIAH L. PENROD SMFT
560 W MOUNT VERNON ST
NIXA, MO 65714-9681
Phone number: 417-413-1593
Mailing Address
-- JEREMIAH L. PENROD SMFT
2108 W VISTA ST
SPRINGFIELD, MO 65807-5918
Phone number: 417-597-4309
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