Individual
OLLIE DANIELLE EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6644
(573) 814-6493
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6644
(573) 814-6493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004027936
MO
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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