Individual
LAUREL CAMILLA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 W NIFONG BLVD, BLDG 7, STE 300, COLUMBIA, MO 65203-5615
(573) 884-1130
(573) 884-5936
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022032387
MO
Other
Enumeration date
03/22/2023
Last updated
07/17/2023
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