LISA ANN GAULT

FARMINGTON, MO
NPI1912418039
Former NameLISA ANN CLANCY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2017-10-16
Last Update Date2017-11-03
Business Address
Mrs. LISA ANN GAULT
1085 MAPLE ST
FARMINGTON, MO 63640-1955
Phone number: 573-756-5353
Mailing Address
Mrs. LISA ANN GAULT
1085 MAPLE ST
FARMINGTON, MO 63640-1955
Phone number: 573-756-5363