Individual
MARY ELIZABETH HUCKABY
Active
Individual
MARY ELIZABETH HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2006022758
MO
1041C0700X
Clinical Social Worker
Primary
2006022758
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499381705
—
MO
Enumeration date
04/27/2009
Last updated
12/05/2024
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