Individual
MRS. MARCY DEE VANDEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6114
Mailing address
3437 S BELLHURST AVE, SPRINGFIELD, MO 65804-4610
(417) 886-1997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006005461
MO
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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