| Sue Ellen Myers, | |
|
8548 Jade Road, Kingdom City, MO 65262 | |
| (573) 642-5345 | |
| (573) 642-5345 |
| Full Name | Sue Ellen Myers |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 8548 Jade Road, Kingdom City, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992869432 | NPI | - | NPPES |
| 495246308 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2002006591 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Ellen Myers, 1012 Greystone Ct, Fulton, MO 65251-1297 Ph: (573) 642-5345 | Sue Ellen Myers, 8548 Jade Road, Kingdom City, MO 65262 Ph: (573) 642-5345 |
Stacie Smithee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8548 Jade Road, Kingdom City, MO 65262 Phone: 573-642-5345 Fax: 573-642-5345 | |
Lydia Allison, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8548 Jade Road, Kingdom City, MO 65262 Phone: 573-642-5345 | |
Margaret Erin Griffith, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8548 Jade Road, Kingdom City, MO 65262 Phone: 573-642-5345 |