STATE OF MISSOURI

JEFFERSON CITY, MO
NPI1447886288
Doing Business AsCPR ADULT
Entity TypeOrganization
Authorized ContactMOLLY JANE BOECKMANN
Director Of Administrative Services
573-751-4055
Organization Subpart ?Yes
Primary Taxonomy103TR0400X Psychologist, Rehabilitation
Enumeration Date2020-03-12
Last Update Date2020-09-03
Business Address
STATE OF MISSOURI
1706 E ELM ST
JEFFERSON CITY, MO 65101
Phone number: 573-751-3398
Mailing Address
STATE OF MISSOURI
PO BOX 687 1706 E ELM ST
JEFFERSON CITY, MO 65102-0687
Phone number: 573-751-3398