Individual
NANCY A MAENHOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 W BROADWAY ST, EL DORADO SPRINGS, MO 64744-1133
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005779
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494638513
—
MO
Enumeration date
12/16/2005
Last updated
04/30/2019
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