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Organization

LISA J. SNOW, LCSW, LLC

Active
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Organization

LISA J. SNOW, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA SNOW LCSW (PROVIDER)
(573) 975-4301
Entity
Organization

Contact information

Practice address
314 E PROMENADE ST, MEXICO, MO 65265-2857
(573) 975-4301
(573) 975-4304
Mailing address
314 E PROMENADE ST, MEXICO, MO 65265-2857
(573) 975-4301
(573) 975-4304

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013025364
MO

Other

Enumeration date
11/25/2015
Last updated
12/17/2023
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