| NPI | 1891978250 |
|---|---|
| Former Name | JOSEPH BISHELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 884) |
| 1041C0700X Social Worker, Clinical (Licence: TX 15057) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 6000) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2023-03-12 |