Individual
MS. GLENDA E PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1180 HWY WW, MARSHALL, MO 65340
(660) 886-2253
Mailing address
1180 HWY WW, P.O. BOX 333, MARSHALL, MI 65340
(660) 886-2253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493836605
—
MO
Enumeration date
03/03/2008
Last updated
03/03/2008
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