Individual
MRS. CAROLYN D RAYNOR-MCCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
502 HAMPTON AVE, PARK HILLS, MO 63601-3720
(573) 747-7924
Mailing address
325 RIDGEWOOD CT, FARMINGTON, MO 63640-7694
(573) 747-7924
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2012026563
MO
1041C0700X
Clinical Social Worker
Primary
2014042502
MO
Other
Enumeration date
06/14/2013
Last updated
05/24/2019
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