Individual
MR. LAWRENCE ALBERT MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1215 FREDERICKTOWN AVE, FARMINGTON, MO 63640-8583
(573) 747-6434
Mailing address
1215 FREDERICKTOWN AVE, FARMINGTON, MO 63640-8583
(573) 747-6434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2007011916
MO
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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