Provider Information for 1982080008
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Mrs. DANIELLE FERA LPC, MS
Sex: Female
NPI: 1982080008
Last Updated: 2018-06-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1982080008 | ||||||||
| Enumeration Date | 2015-07-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1800 COMMUNITY CLINTON, MO 64735-8804 United States Phone: 660-885-8131 | Fax: | ||||||||
| Primary Practice Address | 1278 W US HIGHWAY 40 ODESSA, MO 64076 United States Phone: 888-403-1071 | Fax:816-633-7942 | ||||||||
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