Individual
JANESE DIANNE SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1031 VANDENBERG AVE, WHITEMAN AFB, MO 65305-5100
(641) 660-3801
Mailing address
88 SE 461ST RD, WARRENSBURG, MO 64093-7956
(641) 660-3801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW09923794
CO
1041C0700X
Clinical Social Worker
Primary
LCSW-18526
AZ
Other
Enumeration date
06/11/2010
Last updated
05/19/2025
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