Individual
JORDAN LASCUOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3501 BERRYWOOD DR, COLUMBIA, MO 65201-6584
(888) 403-1071
(573) 449-2583
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020030620
MO
Other
Enumeration date
06/12/2018
Last updated
09/17/2020
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