Individual
RACHEL DAWN PANGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1805 E WALNUT ST, COLUMBIA, MO 65201-6425
(573) 777-7500
(573) 777-7505
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011029968
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490004359
—
MO
Enumeration date
04/15/2013
Last updated
04/01/2025
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