Provider Demographics
NPI:1073718037
Name:KEE, LINDA MARIE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:KEE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROUTE #3
Mailing Address - Street 2:BOX 109C
Mailing Address - City:PURDY
Mailing Address - State:MO
Mailing Address - Zip Code:65734
Mailing Address - Country:US
Mailing Address - Phone:417-442-7784
Mailing Address - Fax:
Practice Address - Street 1:ROUTE #3
Practice Address - Street 2:BOX 109C
Practice Address - City:PURDY
Practice Address - State:MO
Practice Address - Zip Code:65734
Practice Address - Country:US
Practice Address - Phone:417-442-7784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0051741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical