Individual
MR. JAMES PRESTON WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1105 W LIBERTY ST, SUITE 4050, FARMINGTON, MO 63640-1921
(573) 756-7844
(573) 701-0180
Mailing address
1105 W LIBERTY ST, SUITE 4050, FARMINGTON, MO 63640-1921
(573) 756-7844
(573) 701-0180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002712
MO
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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