Individual
SANDRA LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW MSW
Contact information
Practice address
4602 N QUAIL RUN RD, OZARK, MO 65721-6246
(417) 894-5178
Mailing address
PO BOX 1910, OZARK, MO 65721-1910
(417) 894-5178
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2012018364
MO
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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