Individual
MS. AMBER LIPONOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 FELLOWS PL APT 3C, COLUMBIA, MO 65201-8529
(573) 823-2842
Mailing address
115 CONLEY RD # 1032, COLUMBIA, MO 65201-6465
(573) 212-4456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019027191
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490094703
—
MO
Enumeration date
02/24/2021
Last updated
04/05/2025
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