Lorie Leigh Kolwyck

NPI #1003706359 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1003706359
Entity Type: Individual
Name: Lorie Leigh Kolwyck
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 8, 2025
Last Updated: Jul 8, 2025

Practice Location

Address: 3025 WARRIOR LN
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-8685
Phone: (573) 686-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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