Darrell F Mahan, LCSW

NPI #1639155104 in West Plains, Missouri

Provider Information

NPI Number
1639155104
Entity Type
Individual
Name
Darrell F Mahan, LCSW
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 16, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1115 INDEPENDENCE DR
ZIP Code
65775-4221
Phone
(417) 255-8464

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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