JEREMY C CLOUSE

JOPLIN, MO
NPI1619053014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  200601845)
Enumeration Date2006-10-27
Last Update Date2008-04-25
Business Address
-- JEREMY C CLOUSE
409 N BYERS AVE
JOPLIN, MO 64801-2713
Phone number: 417-359-6658
Mailing Address
-- JEREMY C CLOUSE
409 N BYERS AVE
JOPLIN, MO 64801-2713
Phone number: 417-359-6658
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