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1669002747
CASEY WALLIS
CLAYCOMO, MO
NPI
1669002747
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Former Name
CASEY BECKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KS 03938)
Enumeration Date
2020-01-17
Last Update Date
2025-03-27
Business Address
CASEY WALLIS LCPC
32 S MIRIAM ST APT 6
CLAYCOMO, MO 64119-3141
Phone number: 816-701-9519
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Mailing Address
CASEY WALLIS LCPC
32 S MIRIAM ST APT 6
CLAYCOMO, MO 64119-3141
Phone number: 816-701-9519
Copy