JACOB FANTIN

MONETT, MO
NPI1538883459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MO  2022038992)
Enumeration Date2022-10-04
Last Update Date2022-10-04
Business Address
JACOB FANTIN PLP
1701 N CENTRAL AVE
MONETT, MO 65708-9999
Phone number: 417-476-1000
Mailing Address
JACOB FANTIN PLP
PO BOX 100
PIERCE CITY, MO 65723-2100
Phone number: 417-476-1013
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