LISA M SPORE

NIXA, MO
NPI1720372659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2011016318)
Enumeration Date2011-06-08
Last Update Date2022-10-05
Business Address
LISA M SPORE MA, LPC
307 S WEST ST
NIXA, MO 65714-8413
Phone number: 417-494-5031
Mailing Address
LISA M SPORE MA, LPC
307 S WEST ST
NIXA, MO 65714-8413
Phone number: 417-494-5031
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