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1720129067
MICHAELA LANE CARROLL
LEBANON, MO
NPI
1720129067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2014015461)
Enumeration Date
2007-02-09
Last Update Date
2018-09-25
Business Address
MICHAELA LANE CARROLL PLPC
860 LYNN ST
LEBANON, MO 65536-3810
Phone number: 888-403-1071
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Mailing Address
MICHAELA LANE CARROLL PLPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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