Individual
MRS. LAURIE LYNN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
224 W MAPLE AVE, INDEPENDENCE, MO 64050-2816
(816) 381-7690
(816) 381-7652
Mailing address
224 W MAPLE AVE, INDEPENDENCE, MO 64050-2816
(816) 381-7690
(816) 381-7652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2017026986
MO
1041C0700X
Clinical Social Worker
05545
KS
1041C0700X
Clinical Social Worker
Primary
2020026619
MO
Other
Enumeration date
10/19/2019
Last updated
01/08/2022
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