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1174829881
LAURIE LEE BLACK
FARMINGTON, MO
NPI
1174829881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2010030680)
Enumeration Date
2011-01-28
Last Update Date
2011-01-28
Business Address
-- LAURIE LEE BLACK LCSW
591 KIMBERLY CT
FARMINGTON, MO 63640-2032
Phone number: 573-747-8442
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Mailing Address
-- LAURIE LEE BLACK LCSW
591 KIMBERLY CT
FARMINGTON, MO 63640-2032
Phone number: 573-747-8442
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