Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003422098 |
---|---|
Provider Name | Renae M Belt |
First Address | Sedalia, MO 65301-2102 |
Second Address | Sedalia, MO 65301-2102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2020 |
Last Update Date | 16/09/2020 |