Individual
MRS. LUCRETIA LEA WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1800 MADISON 257, FREDERICKTOWN, MO 63645-8273
(573) 783-4400
(573) 783-4409
Mailing address
1800 MADISON 257, FREDERICKTOWN, MO 63645
(573) 783-4400
(573) 783-4409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2010009462
MO
Other
Enumeration date
09/01/2010
Last updated
03/29/2013
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