Individual
MS. SANDRA LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3211 S PROVIDENCE RD, BUILDING C, COLUMBIA, MO 65203-3639
(573) 882-8008
(573) 884-2001
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 269-5400
(417) 269-7212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005441
MO
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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