Individual
MR. ADAM DANIEL LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASEMANGER
Contact information
Practice address
301 BOUNDARY ST, MAGNOLIA, AR 71753-3305
(870) 234-2600
(870) 234-2606
Mailing address
301 BOUNDARY ST, MAGNOLIA, AR 71753-3305
(870) 234-2600
(870) 234-2606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AR
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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