BLAKE WEBSTER

JOPLIN, MO
NPI1124451653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MO  2013032508)
Additional Taxonomies103T00000X Psychologist
(Licence: KS  1299)
Enumeration Date2013-08-20
Last Update Date2013-09-03
Business Address
-- BLAKE WEBSTER
1230 N DUQUESNE RD
JOPLIN, MO 64801-1509
Phone number: 417-782-1443
Mailing Address
-- BLAKE WEBSTER
1230 N DUQUESNE RD
JOPLIN, MO 64801-1509
Phone number: 417-782-1443