Individual
MRS. JENNIFER LYNN LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
104 LILLIAN AVE, DEXTER, MO 63841-1575
(573) 820-1697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012018569
MO
Other
Enumeration date
11/29/2010
Last updated
06/19/2012
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