Individual
LISA SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
314 E PROMENADE ST, MEXICO, MO 65265-2857
(573) 975-4301
(573) 975-4304
Mailing address
314 E PROMENADE ST, MEXICO, MO 65265-2857
(573) 975-4301
(573) 975-4304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013025364
MO
Other
Enumeration date
02/12/2014
Last updated
12/17/2023
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