Doctor Name: | REBECCA MCCULLOCH CLYMORE |
NPI Number: | 1730162504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 005907 |
Business Practice Address: | 214 N Main St Plattsburg, MO - 644771238 |
Business Phone Number: | 8165393080 |
Business Fax Number: | 8165392866 |
Mailing Address: | 214 N Main St, PLATTSBURG |
State: | MO |
Postal Code: | 644771238 |
Phone Number: | 8165393080 |
Fax Number: | 8165392866 |
NPI Enumeration Date: | 11/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005907 |
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 |