Individual
MS. MARGARET JANE DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806
(417) 831-0150
(417) 865-3479
Mailing address
2465 E MEADOW DR, SPRINGFIELD, MO 65804-4506
(417) 689-3974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2011029369
MO
1041C0700X
Clinical Social Worker
Primary
2011029369
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011029369
MISSOURI STATE LICENSE
MO
Enumeration date
09/21/2011
Last updated
09/04/2018
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