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1619246592
ANDREA FENTON
LEBANON, MO
NPI
1619246592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2011038113)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
-- ANDREA FENTON LCSW
100 HOSPITAL DR
LEBANON, MO 65536-9210
Phone number: 417-533-6100
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Mailing Address
-- ANDREA FENTON LCSW
100 HOSPITAL DR
LEBANON, MO 65536-9210
Phone number: 417-533-6100
Copy
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