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Individual

DR. LISA JOHNSON HAIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSW, MSW, LCSW

Contact information

Practice address
2268 LUXMORE DR, SAINT LOUIS, MO 63136-4522
(314) 816-6129
Mailing address
7750 MARYLAND AVE UNIT 11382, SAINT LOUIS, MO 63105-5510
(314) 816-6129

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004026605
MO

Other

Enumeration date
12/29/2023
Last updated
01/16/2024
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