Table Rock Counseling, LLC

NPI #1447231808 in Kimberling City, Missouri

Provider Information

NPI Number: 1447231808
Entity Type: Organization
Organization Name: Table Rock Counseling, LLC
Primary Specialty: Social Worker
Enumeration Date: Nov 10, 2005
Last Updated: May 13, 2016

Practice Location

Address: 67 BISHOP LN
City: Kimberling City
State: Missouri
ZIP Code: 65686-9818
Phone: (417) 230-1279

Authorized Official

Name: MS. LAURIE JEAN DOMSCH, ACSW, LCSW
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (417) 272-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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