Provider Information for 1538782420
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Ms. ARIELLE RENEE SPEER LCSW
Other Names:Professional Name:Ms. ARIELLE R SHORTSex: Female
NPI: 1538782420
Last Updated: 2022-01-28
Certification Date: 2021-12-15
Certification Date: 2021-12-15
Details
| Name | Value | ||||||||
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| NPI | 1538782420 | ||||||||
| Enumeration Date | 2020-05-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 509 MDG 331 SIJAN AVENUE WHITEMAN AFB, MO 65305 United States Phone: 660-687-7222 | Fax: | ||||||||
| Primary Practice Address | 509 MDG 331 SIJAN AVENUE WHITEMAN AFB, MO 65305-1462 United States Phone: 660-687-7222 | Fax: | ||||||||
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