# MS. ELAINE DOTY RENFRO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073786844
- **Gender:** F
- **Credential:** LSCSW , LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2007000625 | MO | — |
| 1041C0700X | Clinical Social Worker | 3605 | KS | — |
| 1041C0700X | Clinical Social Worker | LCSW-623 | WY | Yes |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 03/17/2018
