Individual
MRS. LETICIA LANAY ALLISON-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
100 WEST COLLIER STREET, TROY, MO 63379-3350
(636) 279-5907
Mailing address
100 WEST COLLIER STREET, TROY, MO 63379-3350
(636) 279-5907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2008033359
MO
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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