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Laura Jean South, LPC

Counselor, Professional in Carthage, MO. Individual provider (NPI-1).

NPI number1003325317
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1003325317
Entity type
Individual (NPI-1)
Name
Laura Jean South
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 29, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional2009007303MOYes

Practice location

7366 County Road 180
Carthage, MO 64836-7679

Phone 417-793-1811

Mailing address

7366 County Road 180
Carthage, MO 64836-7679

Phone 417-793-1811

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