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Individual

MS. DIANE LOUISE LA MAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1005 CHERRY ST, SUITE 202B, COLUMBIA, MO 65201-7930
(573) 443-4038
(573) 657-1125
Mailing address
16471 S HAWKINS RD, ASHLAND, MO 65010-9328
(573) 443-4038
(573) 657-1125

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000750
MO

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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