Individual
MR. KENNETH MARK SKOUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
515A EAST MCCARTY, JEFFERSON CITY, MO 65101
(573) 635-2254
(573) 634-2221
Mailing address
515A EAST MCCARTY SREET, JEFFERSON CITY, MO 65101
(573) 634-2254
(573) 634-2221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW002185
MO
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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