Individual
LAURIE J DOMSCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, ACSW, LCSW
Contact information
Practice address
11016 STATE HIGHWAY 76, CLAYBOUGH PLAZA, STE. 23, REEDS SPRING, MO 65737-9775
(417) 272-0055
(417) 272-0055
Mailing address
67 BISHOP LN, KIMBERLING CITY, MO 65686-9818
(417) 272-0055
(417) 272-0055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004512
MO
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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