Individual
CHRISTOPHER RYAN MASSEY
Active
Individual
CHRISTOPHER RYAN MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2019005818
MO
1041C0700X
Clinical Social Worker
Primary
2021014789
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490075951
—
MO
Enumeration date
09/18/2019
Last updated
05/03/2021
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