Individual
ERIC THOMAS LYBECK-BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
211 OSCAR DR, SUITE A, JEFFERSON CITY, MO 65101-5197
(573) 635-8299
(573) 635-4629
Mailing address
211 OSCAR DR, SUITE A, JEFFERSON CITY, MO 65101-5197
(573) 635-8299
(573) 635-4629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002022069
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180131
BLUE CROSS BLUE SHIELD
MO
01
—
397431
HEALTHLINK
MO
Enumeration date
11/19/2005
Last updated
07/08/2007
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