Amanda Douglas, LCSW | |
500 E 19th St, Mountain Grove, MO 65711-1114 | |
(417) 926-6563 | |
(417) 926-5820 |
Full Name | Amanda Douglas |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 500 E 19th St, Mountain Grove, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083065999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Missouri) | Secondary |
1041C0700X | Social Worker - Clinical | 2016016660 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Amanda Douglas, LCSW 500 E 19th St, Mountain Grove, MO 65711-1114 Ph: (417) 926-6563 | Amanda Douglas, LCSW 500 E 19th St, Mountain Grove, MO 65711-1114 Ph: (417) 926-6563 |
Julie Renae Posey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 | |
Stephanie Renae Gerlek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-0911 |