Individual
TERYN MALYNNE BOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1278 W US HIGHWAY 40, ODESSA, MO 64076-9612
(888) 403-1071
(816) 633-7942
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11543
KS
104100000X
Social Worker
Primary
2020038948
MO
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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