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1508427063
JASON WEAD
SPRINGFIELD, MO
NPI
1508427063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2012021500)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
JASON WEAD
5264 S TIMBERLAKE DR
SPRINGFIELD, MO 65804-7723
Phone number: 484-429-3540
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Mailing Address
JASON WEAD
5264 S TIMBERLAKE DR
SPRINGFIELD, MO 65804-7723
Phone number: 484-429-3540
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