ELIZABETH ANNE DERICKSON

JACKSON, MO
NPI1043528052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2012003258)
Additional Taxonomies104100000X Social Worker
(Licence: MO  2010013148)
1041C0700X Social Worker, Clinical
(Licence: WA  LW61133188)
1041C0700X Social Worker, Clinical
(Licence: IN  34007903A)
Enumeration Date2010-09-24
Last Update Date2025-09-04
Business Address
-- ELIZABETH ANNE DERICKSON LCSW
902 E JACKSON BLVD
JACKSON, MO 63755-2434
Phone number: 573-450-8949
Mailing Address
-- ELIZABETH ANNE DERICKSON LCSW
PO BOX 27
JACKSON, MO 63755-0027
Phone number: 573-450-8949