CARLY NIVISON

TROY, MO
NPI1942788138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MO  2017014931)
Enumeration Date2018-07-31
Last Update Date2020-06-22
Business Address
CARLY NIVISON LPC
91 TROY SQ STE 101
TROY, MO 63379-3108
Phone number: 888-403-1071
Mailing Address
CARLY NIVISON LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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