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1942550322
KASEY GRASS PHD LLC
SPRINGFIELD, MO
NPI
1942550322
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Entity Type
Organization
Authorized Contact
KASEY NICOLE GRASS
Owner/Psychologist
501-993-2274
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MO 2011019654)
Enumeration Date
2012-09-13
Last Update Date
2012-11-15
Business Address
KASEY GRASS PHD LLC
2401 W GRAND ST
SPRINGFIELD, MO 65802-4967
Phone number: 501-993-2274
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Mailing Address
KASEY GRASS PHD LLC
2761 E MELBOURNE RD
SPRINGFIELD, MO 65804-5257
Phone number: 501-993-2274
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