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1679763130
KACEY ANN COUNTRYMAN
EL DORADO, KS
NPI
1679763130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KS 808)
Enumeration Date
2007-07-30
Last Update Date
2007-07-30
Business Address
Mrs. KACEY ANN COUNTRYMAN LPC
2365 W CENTRAL AVE
EL DORADO, KS 67042-3208
Phone number: 316-321-6036
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Mailing Address
Mrs. KACEY ANN COUNTRYMAN LPC
2365 W CENTRAL AVE
EL DORADO, KS 67042-3208
Phone number: 316-321-6036
Copy
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