Individual
LISA M WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4430 MISSOURI AVE # 1267, FORT LEONARD WOOD, MO 65473-9098
(844) 853-8937
Mailing address
4430 MISSOURI AVE P. O. BOX 1267, FORT LEONARD WOOD, MO 65473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2022014246
MO
1041C0700X
Clinical Social Worker
Primary
SW9119
FL
Other
Enumeration date
12/15/2008
Last updated
02/14/2023
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