Individual
LORI KAYE MATHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0052
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2021015933
MO
Other
Enumeration date
10/14/2021
Last updated
05/22/2026
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