Individual
MRS. DANA J LIVSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 N MASON ST, CARROLLTON, MO 64633-2247
(660) 542-1403
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001912
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497845800
—
MO
Enumeration date
09/02/2005
Last updated
12/21/2022
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