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1982245825
DEDE CARSON
AURORA, MO
NPI
1982245825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MO 9512)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
DEDE CARSON MAADCII
1401 S ELLIOTT AVE
AURORA, MO 65605-2103
Phone number: 417-671-9856
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Mailing Address
DEDE CARSON MAADCII
1305 BROOKSIDE LN
AURORA, MO 65605-8158
Phone number: 417-569-2143
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