Individual
MRS. LAKETIA W. CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12064 JAMESBOROUGH DR, FLORISSANT, MO 63033-7810
(314) 355-7228
Mailing address
12064 JAMESBOROUGH DR, FLORISSANT, MO 63033-7810
(314) 355-7228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002382
MO
Other
Enumeration date
05/24/2007
Last updated
07/09/2007
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