| NPI | 1548596109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLEY VERDIS GULLETT Owner 417-682-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 000440) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |