Individual
JEANIE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
925 HIGHWAY VV, KENNETT, MO 63857-0071
(573) 888-5925
(573) 888-9365
Mailing address
925 HIGHWAY VV, KENNETT, MO 63857-0071
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004384
MO
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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