Individual
MRS. SANDRA JO MCGATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 W BROADWAY ST, EL DORADO SPRINGS, MO 64744
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008010440
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008010440
STATE OF MISSOURI
MO
Enumeration date
10/26/2009
Last updated
07/19/2018
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