Individual
DESTINEE CHRISTINE LEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
1221 BROADWAY, HANNIBAL, MO 63401-4005
(573) 221-2111
Mailing address
10299 TANGLEWOOD LN, HANNIBAL, MO 63401-7453
(573) 221-2111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022047479
MO
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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