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1588738702
KEITH RAY MACKIE
SPRINGFIELD, MO
NPI
1588738702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2454)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- KEITH RAY MACKIE MA, LPC
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone number: 417-865-1646
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Mailing Address
-- KEITH RAY MACKIE MA, LPC
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone number: 417-865-1646
Copy
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