Individual
MARGARET TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002549
MO
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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