GREG SHANK

SPRINGFIELD, MO
NPI1821457557
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2002002751)
Enumeration Date2016-02-23
Last Update Date2016-09-22
Business Address
-- GREG SHANK
1212 W LOMBARD
SPRINGFIELD, MO 65806
Phone number: 417-865-1646
Mailing Address
-- GREG SHANK
1212 W LOMBARD
SPRINGFIELD, MO 65806
Phone number: