Individual
CHRISTINA M LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
1949 SNOWBERRY LANE, JOPLIN, MO 64804
(417) 781-0821
Mailing address
2115 S MOFFET AVE, JOPLIN, MO 64804-1943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/18/2007
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