Individual
LUCINDA MARIE CARLSON-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 W 3RD ST, SUITE B, JOPLIN, MO 64801-2321
(471) 782-0844
Mailing address
111 W 3RD ST, SUITE B, JOPLIN, MO 64801-2321
(471) 782-0844
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2004009851
MO
Other
Enumeration date
03/09/2007
Last updated
01/15/2008
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