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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