Individual
LESLIE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3022 S NATIONAL AVE, SPRINGFIELD, MO 65804-4247
(417) 597-4572
Mailing address
3022 S NATIONAL AVE, SPRINGFIELD, MO 65804-4247
(417) 597-4572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023049499
MO
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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