Individual
MADELINE CLAIRE ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
280 N SUNNY SIDE CT, COLUMBIA, MO 65201-6900
(479) 236-2359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2017034161
MO
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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