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Individual

MRS. KRISTINE MARIE WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
141 COMMUNICATION DR, HANNIBAL, MO 63401-3670
(573) 795-7342
(573) 248-3080
Mailing address
900 E. LA HARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007010502
MO

Other

Enumeration date
09/22/2010
Last updated
04/03/2014
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