Individual
JOHN CHARLES OROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2404 HIGHLY ST, SAINT JOSEPH, MO 64506-2729
(816) 646-2111
Mailing address
3310 E DEVONSHIRE DR, SAINT JOSEPH, MO 64506-4538
(816) 390-8813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010010954
MO
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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