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1992430763
SHELBY NICOLE BENZ
SPRINGFIELD, MO
NPI
1992430763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2021012139)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
SHELBY NICOLE BENZ
614 SOUTH AVE
SPRINGFIELD, MO 65806-3110
Phone number: 417-869-9011
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Mailing Address
SHELBY NICOLE BENZ
614 SOUTH AVE
SPRINGFIELD, MO 65806-3110
Phone number: 417-869-9011
Copy
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