RAEGAN D DETTLAFF

LEBANON, MO
NPI1639870439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MO  2023009440)
Enumeration Date2023-03-17
Last Update Date2023-03-17
Business Address
RAEGAN D DETTLAFF PLPC
860 LYNN ST
LEBANON, MO 65536-3810
Phone number: 844-853-8937
Mailing Address
RAEGAN D DETTLAFF PLPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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