Individual
SHELLEY EILEEN BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
309 N MISSOURI ST, MACON, MO 63552-2143
(660) 395-9114
Mailing address
1847 HIGHWAY K, CLARENCE, MO 63437-3015
(660) 651-4120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019003938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871048876
—
MO
Enumeration date
08/19/2016
Last updated
02/19/2019
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