Individual
MRS. MARTHA BROOKE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
504 E BROADWAY STE A, ASHLAND, MO 65010-9538
(573) 657-7330
(573) 657-1772
Mailing address
3600 E EDWARDS RD, ASHLAND, MO 65010-9230
(573) 289-0214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004584
MO
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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