Individual
MAKAYLA MAE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 N BELCREST AVE, SUITE A, SPRINGFIELD, MO 65802
(417) 413-4676
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021003858
MO
Other
Enumeration date
03/28/2021
Last updated
10/08/2024
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