Individual
REBECCA MCCULLOCH CLYMORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
214 N MAIN ST, PLATTSBURG, MO 64477-1238
(816) 539-3080
(816) 539-2866
Mailing address
214 N MAIN ST, PLATTSBURG, MO 64477-1238
(816) 539-3080
(816) 539-2866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001370500
COMMUNITY HEALTH PLAN
MO
01
—
25530011
BLUE CROSS OF KANSAS CITY
MO
Enumeration date
11/24/2005
Last updated
07/08/2007
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