Individual
LUCAS BRYAN PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7082 MADRID LN, NEOSHO, MO 64850-6452
(417) 737-0275
Mailing address
7082 MADRID LN, NEOSHO, MO 64850-6452
(417) 737-0275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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