Individual
MARY TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW CCDP-D LLC
Contact information
Practice address
1310 E KINGSLEY ST STE C, SPRINGFIELD, MO 65804-7238
(417) 862-3455
(417) 862-9771
Mailing address
1310 E KINGSLEY ST STE C, SPRINGFIELD, MO 65804-7238
(417) 882-7700
(417) 882-7700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011034998
MO
Other
Enumeration date
08/27/2015
Last updated
02/22/2021
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