Individual
LANELL RENEE AMANDA BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
353 E 8TH ST, MOUNTAIN HOME, AR 72653-4423
(870) 701-5141
(870) 701-5177
Mailing address
313 N MCMILLAN ST, MOUNTAIN GROVE, MO 65711-1522
(417) 349-0673
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
10095C
AR
1041C0700X
Clinical Social Worker
2020008097
MO
Other
Enumeration date
09/30/2017
Last updated
10/15/2020
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