Individual
MISS JULIE ANDREA MACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901 E BENNETT ST, SUITE D, SPRINGFIELD, MO 65804-1427
(417) 881-1900
Mailing address
1901 E BENNETT ST, SUITE D, SPRINGFIELD, MO 65804-1427
(417) 881-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003032209
MO
Other
Enumeration date
03/15/2008
Last updated
04/11/2014
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