Individual
BLAKE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240
Mailing address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1299
KS
103T00000X
Psychologist
Primary
2013032508
MO
Other
Enumeration date
08/20/2013
Last updated
09/03/2013
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