Doctor Name: | CONNIE LEE ARNOLD |
NPI Number: | 1508058157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 2005041019 |
Business Practice Address: | 317 Mulberry Dr Raymore, MO - 640838297 |
Business Phone Number: | 8165471407 |
Business Fax Number: | 8163314977 |
Mailing Address: | 317 Mulberry Dr, RAYMORE |
State: | MO |
Postal Code: | 640838297 |
Phone Number: | 8165471407 |
Fax Number: | 8163314977 |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2005041019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |