Individual
MR. LAWRENCE JOSEPH ULM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
398 DIX RD, SUITE 101, JEFFERSON CITY, MO 65109-1407
(573) 556-6299
(573) 556-8577
Mailing address
398 DIX RD, SUITE 101, JEFFERSON CITY, MO 65109-1407
(573) 556-6299
(573) 556-8577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW001487
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113744
COUNSELING
MO
Enumeration date
07/10/2006
Last updated
07/09/2007
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