Individual
LANCE EDWIN QUALMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, QHMP
Contact information
Practice address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1000
(618) 939-4444
(618) 939-4181
Mailing address
7414 ARLINGTON DR, SAINT LOUIS, MO 63117-2220
(314) 565-8009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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