Individual
DUSHA C CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
902 E JACKSON BLVD, JACKSON, MO 63755-2434
(573) 450-8949
Mailing address
902 E JACKSON BLVD, JACKSON, MO 63755-2434
(573) 450-8949
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019010052
MO
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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