Provider Information for 1588206346
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CARRIE STORMZAND LPC, NCC
Sex: Female
NPI: 1588206346
Last Updated: 2019-10-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1588206346 | ||||||||
| Enumeration Date | 2019-10-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4546 S QUAIL CREEK AVE SPRINGFIELD, MO 65810-1678 United States Phone: 417-209-5046 | Fax: | ||||||||
| Primary Practice Address | 4546 S QUAIL CREEK AVE SPRINGFIELD, MO 65810-1678 United States Phone: 417-209-5046 | Fax: | ||||||||
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