Provider Information for 1598443541
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JANET MARIE EDDY LPC
Sex: Female
NPI: 1598443541
Last Updated: 2023-12-18
Certification Date: 2023-12-18
Certification Date: 2023-12-18
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598443541 | ||||||||
| Enumeration Date | 2023-07-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1513 UNION AVE STE 2500 MOBERLY, MO 65270-9412 United States Phone: 660-372-1313 | Fax:660-372-1339 | ||||||||
| Primary Practice Address | 1513 UNION AVE STE 2500 MOBERLY, MO 65270-9412 United States Phone: 660-372-1313 | Fax:660-372-1339 | ||||||||
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