Individual
MADELYN USHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
608 PINE ST, FARMINGTON, MO 63640-3020
(573) 756-6744
Mailing address
608 PINE ST, FARMINGTON, MO 63640-3020
(573) 756-6744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016019477
MO
Other
Enumeration date
06/22/2016
Last updated
04/20/2017
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