Individual
MRS. MARY MARGARET MCCREERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
113 W HICKORY ST, NEOSHO, MO 64850-1705
(417) 347-4309
(417) 347-9268
Mailing address
12713 HIGHWAY M, STARK CITY, MO 64866-8053
(417) 850-2013
(417) 347-9268
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2002008087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20020080887
STATE COMMITTE OF DIETITIAN LICENSED
MO
01
—
2041-0267
CERTIFIED DIABETES EDUCATOR
—
01
—
916277
REGISTAR DIETITAN LICENSE
MO
Enumeration date
07/23/2010
Last updated
08/24/2010
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