| NPI | 1619621760 |
|---|---|
| Other Name | JOANIE M DEFIBAUGH |
| Entity Type | Organization |
| Authorized Contact | JOANIE DEFIBAUGH Lcsw 573-864-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |