Individual
MR. ANDREW SPENCER UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
9501 W COYOTE HILL RD, HARRISBURG, MO 65256-9598
(573) 874-0179
Mailing address
1450 N BOOTHE LN, COLUMBIA, MO 65202-9516
(573) 881-3711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001033192
MO
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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