Individual
SHARON LEE WEATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2625 E STANFORD ST, SPRINGFIELD, MO 65804-2040
(417) 619-9284
Mailing address
2625 E STANFORD ST, SPRINGFIELD, MO 65804-2040
(417) 619-9284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2011024371
MO
Other
Enumeration date
06/30/2011
Last updated
07/27/2011
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