Individual
MISTY MARIE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 35TH AVE, COLUMBUS, NE 68601-4731
(402) 562-6767
Mailing address
230 EUCLID AVE, SHELBY, NE 68662-5615
(402) 910-3853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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