Individual
MRS. LISA ANNE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10304 BUST SUBDIVISION RD, POTOSI, MO 63664-8361
(573) 631-2007
Mailing address
10304 BUST SUBDIVISION RD, POTOSI, MO 63664-8361
(573) 631-2007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005009095
MO
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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