Individual
LISA L CHRISTMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1429 S MUNN AVE, MARYVILLE, MO 64468-2756
(660) 562-3255
Mailing address
1429 S MUNN AVE, MARYVILLE, MO 64468-2756
(660) 562-3255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012041180
MO
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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