Individual
MRS. IVY LENARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
504 NW 10TH AVE., AVA, MO 65608-1359
(417) 683-5739
(417) 683-1602
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010001174
MO
Other
Enumeration date
09/27/2006
Last updated
11/15/2013
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