Individual
MR. KRISTOPHER C LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1627 W 26TH ST, JOPLIN, MO 64804-0322
(417) 627-9601
Mailing address
2510 W 26TH ST, JOPLIN, MO 64804-3103
(405) 651-9202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024003429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490136414
—
MO
Enumeration date
11/11/2021
Last updated
03/14/2024
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