Provider Demographics
NPI:1578296331
Name:CONNOR, LASHUNDRA C (LMSW)
Entity Type:Individual
Prefix:
First Name:LASHUNDRA
Middle Name:C
Last Name:CONNOR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16955 HIGHLAND SPGS
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:MO
Mailing Address - Zip Code:65459-7579
Mailing Address - Country:US
Mailing Address - Phone:573-303-9553
Mailing Address - Fax:
Practice Address - Street 1:16955 HIGHLAND SPGS
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:MO
Practice Address - Zip Code:65459-7579
Practice Address - Country:US
Practice Address - Phone:573-303-9553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022023469104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker