Individual
LORA A WITT-SHREVE
Active
Individual
LORA A WITT-SHREVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015033085
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490027939
—
MO
Enumeration date
09/23/2015
Last updated
08/09/2022
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