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1538411590
LISA J MARTIN-LECKENBY
LEBANON, MO
NPI
1538411590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2001025783)
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
-- LISA J MARTIN-LECKENBY LCSW
158 N ADAMS AVE
LEBANON, MO 65536-3021
Phone number: 417-597-4572
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Mailing Address
-- LISA J MARTIN-LECKENBY LCSW
777 E BATTLEFIELD ST STE 102B
SPRINGFIELD, MO 65807-4829
Phone number: 417-597-4572
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