Individual
MRS. BRITTANI DANIELLE DEROSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 983-7600
(417) 866-1483
Mailing address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 983-7600
(417) 866-1483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018016170
MO
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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