Individual
JENNIFER M MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
219 W COMMERCIAL ST, SPRINGFIELD, MO 65803-2647
(417) 718-6822
Mailing address
807 S PIN OAK, NIXA, MO 65714-8057
(417) 718-6822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022044554
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022044554
MISSOURI BOARD OF SOCIAL WORKERS
MO
Enumeration date
01/16/2023
Last updated
03/08/2024
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