Individual
MS. JUANITA HOLMES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
108 E 5TH ST, SEDALIA, MO 65301-4402
(660) 827-4449
(660) 827-6489
Mailing address
108 E 5TH ST, SEDALIA, MO 65301-4402
(660) 827-4449
(660) 827-6489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2005002295
MO
Other
Enumeration date
08/30/2005
Last updated
07/09/2007
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