Individual
ABBY UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
211 S 8TH ST, COLUMBIA, MO 65201-4868
(573) 882-4677
(573) 882-4583
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2015007562
MO
1041C0700X
Clinical Social Worker
Primary
2018008820
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490022094
—
MO
Enumeration date
03/11/2015
Last updated
09/30/2021
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