Individual
KAITLYNN S MCELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022040781
MO
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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