Individual
MARIAN GASTINEAU LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4670 COUNTY ROAD 2630, POMONA, MO 65789-8113
(417) 543-2618
Mailing address
4670 COUNTY ROAD 2630, POMONA, MO 65789-8113
(417) 543-2618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016013186
MO
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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