Mabry, Michaela Kathryn
Mabry, Michaela Kathryn is an individual health care provider with primary practice located at 1032 Crosswinds Ct , Wentzville MO 63385-4836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mabry, Michaela Kathryn can be contacted via phone (888) 403-1071.Contact Information
Primary practice address
1032 Crosswinds Ct
Wentzville MO 63385-4836
Phone: (888) 403-1071
Fax: (636) 332-8213
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2022020458 | Missouri |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2020002806 | Missouri |
Profile Details
NPI number | 1063046142 |
---|---|
LBN Legal business name | Mabry, Michaela Kathryn |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2020 |
Last updated | Jun 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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