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1700302353
SOUTHERN LIGHT COMMUNITY COUNSELING
BOLIVAR, MO
NPI
1700302353
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Entity Type
Organization
Authorized Contact
CINDY DRAKE
Administrative Director
417-850-4555
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
SOUTHERN LIGHT COMMUNITY COUNSELING
1901 WOMMACK AVE
BOLIVAR, MO 65613-3128
Phone number: 417-850-4555
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Mailing Address
SOUTHERN LIGHT COMMUNITY COUNSELING
707 S PEARL AVE
JOPLIN, MO 64801-4334
Phone number: 417-850-4555
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