Individual
MARION MATTHEW LYBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
(417) 448-5604
Mailing address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
(417) 448-5604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2012020860
KS
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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