Individual
AMBRIA MICHELLE WIMSATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
608 MISSOURI ST, WAVERLY, MO 64096-8241
(877) 344-3572
(866) 288-4492
Mailing address
825 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1515
(660) 259-2440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2018025722
MO
1041C0700X
Clinical Social Worker
05541
KS
1041C0700X
Clinical Social Worker
Primary
2021005784
MO
Other
Enumeration date
01/03/2019
Last updated
11/10/2025
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