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1811372659
LIDA TERESA SANTIAGO
HARRISONVILLE, MO
NPI
1811372659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2015013186)
Enumeration Date
2015-07-22
Last Update Date
2019-09-30
Business Address
LIDA TERESA SANTIAGO LPC
300 GALAXIE AVE
HARRISONVILLE, MO 64701-2084
Phone number: 888-403-1071
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Mailing Address
LIDA TERESA SANTIAGO LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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