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Individual

DANIEL K OSTERCAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
3401 BERRYWOOD DR STE 300, COLUMBIA, MO 65201-6515
(573) 777-8330
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2015025368
MO
104100000X
Social Worker
Primary
2017044326
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490031727
MO
Enumeration date
03/24/2016
Last updated
02/27/2020
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