NPI 1003706359

Lorie Leigh Kolwyck

Practitioner Behavior Technician Poplar Bluff, MO

Practice location

Address: 3025 Warrior Ln, Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003706359
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2025
Record last updated: 8 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.