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1093208324
JORDAN LASCUOLA
COLUMBIA, MO
NPI
1093208324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2020030620)
Enumeration Date
2018-06-12
Last Update Date
2020-09-17
Business Address
JORDAN LASCUOLA LCSW
3501 BERRYWOOD DR
COLUMBIA, MO 65201-6584
Phone number: 888-403-1071
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Mailing Address
JORDAN LASCUOLA LCSW
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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