Individual
ABBEY VANDERMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
90 E SOUTHBROOK CT, COLUMBIA, MO 65203-8627
(573) 200-6518
Mailing address
90 E SOUTHBROOK CT, COLUMBIA, MO 65203-8627
(573) 200-6518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016044085
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194126367
—
MO
Enumeration date
09/08/2014
Last updated
05/07/2024
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