Individual
MISS KRISTA WINSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4811 W TARKIO ST, SPRINGFIELD, MO 65802-6727
(417) 234-7834
Mailing address
4811 W TARKIO ST, SPRINGFIELD, MO 65802-6727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2010029780
MO
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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