Individual
MR. LARRY DEWAYNE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
209 N LAFAYETTE ST, DONIPHAN, MO 63935-1631
(573) 996-7054
(573) 996-7052
Mailing address
209 N LAFAYETTE ST, DONIPHAN, MO 63935-1631
(573) 996-7054
(573) 996-7052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000159346
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000159346
LPC LICENSE NUMBER
MO
Enumeration date
05/14/2007
Last updated
07/09/2007
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