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Organization

COYOTE HILL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE M MCDANIEL MSW, LCSW (FOUNDER)
(573) 819-6701
Entity
Organization

Contact information

Practice address
9501 W COYOTE HILL RD, HARRISBURG, MO 65256-9598
(573) 874-0179
Mailing address
9501 W COYOTE HILL RD, HARRISBURG, MO 65256-9598
(573) 874-0179

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist
251B00000X
Case Management Agency
253J00000X
Foster Care Agency

Other

Enumeration date
12/21/2006
Last updated
08/18/2023
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