Individual
DONNA PEISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1410 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-3621
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002241
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496688847
—
MO
Enumeration date
12/20/2005
Last updated
05/10/2018
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