Individual
COURTNEY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4235 S CHARLESTON AVE, SPRINGFIELD, MO 65804-4370
(417) 501-6678
Mailing address
1304 S 15TH ST, OZARK, MO 65721-7480
(417) 848-8068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2025006028
MO
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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