Most Relevant Information
Provider Data
| NPI Number: | 1003493636 |
| Provider Name: | MAKAYLA MAE STANTON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2021003858 |
Most Important Dates
| Enumeration Date: | 03/28/2021 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
230 N BELCREST AVE
SUITE A
SPRINGFIELD
MO
65802
Practice Location Phone/Fax
| Phone: | 4174134676 |
| Fax: |
Provider Mailing Location
PO BOX 844715
KANSAS CITY
MO
641844715
Provider Mailing Phone/Fax
| Phone: | 4177615214 |
| Fax: |