Individual
LOUISE A FLENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 W NIFONG BLVD, BLDG. 5A, COLUMBIA, MO 65203-6804
(573) 499-3875
(573) 499-0702
Mailing address
5203 S COWAN RD, COLUMBIA, MO 65201-9789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1109
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496990011
—
MO
Enumeration date
08/03/2006
Last updated
01/14/2012
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