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1891732707
PHYLLIS LARSON
JEFFERSON CITY, MO
NPI
1891732707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 434)
Enumeration Date
2006-05-31
Last Update Date
2009-07-01
Business Address
-- PHYLLIS LARSON LPC
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Phone number: 573-632-5560
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Mailing Address
-- PHYLLIS LARSON LPC
1432 SOUTHWEST BLVD CAPITAL REGION PSYCHOLOGY & COUNSELING
JEFFERSON CITY, MO 65109
Phone number: 573-632-5560
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