AMANDA DAWN WALLACE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017278

License Status

ACTIVE

Business

First Name

AMANDA

Middle

DAWN

Last Name

WALLACE

Business Name

AMANDA DAWN WALLACE

Original Issue Date

01/12/2015

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

COLUMBIA

State

Zip

65202

County

BOONE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/12/2025