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1639155104
DARRELL F MAHAN
WEST PLAINS, MO
NPI
1639155104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2003003882)
Enumeration Date
2005-12-16
Last Update Date
2007-07-08
Business Address
-- DARRELL F MAHAN LCSW
1115 INDEPENDENCE DR
WEST PLAINS, MO 65775-4221
Phone number: 417-255-8464
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Mailing Address
-- DARRELL F MAHAN LCSW
1115 INDEPENDENCE DR
WEST PLAINS, MO 65775-4221
Phone number: 417-255-8464
Copy
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