Individual
STEPHANNEY TIPSORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3501 BERRYWOOD DR, COLUMBIA, MO 65201-6584
(844) 853-8937
Mailing address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2025033786
MO
Other
Enumeration date
02/15/2022
Last updated
10/13/2025
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