Individual
LORI KAYE MATHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
103 W 10TH ST, ROLLA, MO 65401-3247
(833) 388-4673
Mailing address
4 SAINT JOSEPH ST, VIBURNUM, MO 65566-8602
(573) 604-2042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2021015933
MO
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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