Doctor Name: | MRS. HELEN A STRACK |
NPI Number: | 1639163983 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW 00183 |
Business Practice Address: | 331 Sijen Ave Whiteman Afb, MO - 653051269 |
Business Phone Number: | 6606874341 |
Business Fax Number: | |
Mailing Address: | 1209 Se 125, KNOB NOSTER |
State: | MO |
Postal Code: | 653362155 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/01/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 00183 |
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 |