SHAUN FOSSETT

SPRINGFIELD, MO
NPI1740639293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2015043556)
Enumeration Date2016-06-06
Last Update Date2016-06-06
Business Address
-- SHAUN FOSSETT
1310 E KINGSLEY ST SUITE C
SPRINGFIELD, MO 65804-7254
Phone number: 417-822-7700
Mailing Address
-- SHAUN FOSSETT
700 S WELLER AVE
SPRINGFIELD, MO 65802-3345
Phone number:
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