Individual
JOLENE RENE MCQUEEN-KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
Mailing address
4430 MISSOURI AVE # 1278, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016001530
MO
Other
Enumeration date
02/14/2018
Last updated
12/09/2024
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