Individual
REBECCA MARIE SEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2625 FAIRWAY DR, SUITE A2, FULTON, MO 65251-4023
(573) 544-4023
(573) 592-1660
Mailing address
2625 FAIRWAY DR, SUITE A2, FULTON, MO 65251-4023
(573) 544-4023
(573) 592-1660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003347
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140522170134550
—
MO
Enumeration date
06/07/2013
Last updated
07/29/2015
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