Individual
LORI LADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
700 RIPLEY 160E-28, FAIRDEALING, MO 63939-7821
(573) 429-4846
Mailing address
700 RIPLEY 160E-28, FAIRDEALING, MO 63939-7821
(573) 429-4846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2023027154
MO
1041C0700X
Clinical Social Worker
Primary
2026009286
MO
Other
Enumeration date
03/05/2024
Last updated
03/03/2026
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