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1649246935
LISA MICHELLE MCCULLOCH
CHESTERFIELD, MO
NPI
1649246935
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Other Name
LISA MICHELLE KENYON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MO 2001004734)
Enumeration Date
2006-02-27
Last Update Date
2007-07-08
Business Address
Ms. LISA MICHELLE MCCULLOCH LPC
14377 WOODLAKE DR SUITE 308
CHESTERFIELD, MO 63017
Phone number: 314-576-6493
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Mailing Address
Ms. LISA MICHELLE MCCULLOCH LPC
1222 DUNLOE ROAD
BALLWIN, MO 63021
Phone number: 636-207-1391
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