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Individual

ELIZABETH W MAHAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1115 INDEPENDENCE DR, WEST PLAINS, MO 65775-4221
(417) 255-8464
(417) 255-9741
Mailing address
1115 INDEPENDENCE DR, WEST PLAINS, MO 65775-4221
(417) 255-8464
(417) 255-9741

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002018125
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MO
Enumeration date
12/16/2005
Last updated
07/08/2007
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