Individual
LAURA ELIZABETH NIEDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
120 EAST AVE STE 1, WINFIELD, MO 63389-3440
(636) 668-6707
Mailing address
260 S LINDSEY RD, OLD MONROE, MO 63369-2022
(636) 566-6398
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012015173
MO
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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