Individual
DAIRI AMAYA LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
501 N SUNSET LN, RAYMORE, MO 64083-9402
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10326
KS
104100000X
Social Worker
Primary
2023001711
MO
Other
Enumeration date
05/25/2017
Last updated
01/20/2023
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