Individual
SHANONN BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 S HARLEM AVE, JOPLIN, MO 64804-0336
(708) 677-6911
Mailing address
2007 S HARLEM AVE, JOPLIN, MO 64804-0336
(708) 677-6911
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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