Individual
MACKENZIE LEE DALLENBACH STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 E WALNUT ST STE D, COLUMBIA, MO 65203-4505
(573) 442-7232
Mailing address
19 E WALNUT ST STE D, COLUMBIA, MO 65203-4505
(319) 240-3689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024029582
MO
Other
Enumeration date
09/05/2024
Last updated
04/16/2026
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