Dettlaff, Raegan D

Dettlaff, Raegan D is an individual health care provider with primary practice located at 860 Lynn St , Lebanon MO 65536-3810. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dettlaff, Raegan D can be contacted via phone (844) 853-8937.

Contact Information

Primary practice address
860 Lynn St Lebanon MO 65536-3810
Phone: (844) 853-8937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2023009440 Missouri

Profile Details

NPI number 1639870439
LBN Legal business name Dettlaff, Raegan D
Credentials PLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2023
Last updated Mar 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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