Individual
MR. RONALD DAVID WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3902 N 25TH ST, SAINT JOSEPH, MO 64505-1551
(816) 617-8246
Mailing address
3902 N 25TH ST, SAINT JOSEPH, MO 64505-1551
(816) 617-8246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
495189904
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495189904
—
MO
Enumeration date
04/09/2007
Last updated
06/27/2012
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