Lori Lady, MSW

NPI #1518724566 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1518724566
Entity Type: Individual
Name: Lori Lady, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MSW
Enumeration Date: Mar 5, 2024
Last Updated: Mar 5, 2024

Practice Location

Address: 1600 W MAUD ST STE 2
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-4726
Phone: (573) 872-4798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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