David Jackson Winn, LCSW
Social Worker, Clinical in Columbia, MO. Individual provider (NPI-1).
NPI number1972511368
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1972511368
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Jackson Winn
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2005013006 | MO | Yes |
Practice location
800 Hospital DrColumbia, MO 65201-5275
Phone 573-814-6478
Mailing address
5506 Irma DrColumbia, MO 65202-5498
Phone 573-474-0608
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