Individual
MR. JUSTIN LEE JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
900 E SAN MARTIN ST, BOLIVAR, MO 65613-2893
(417) 501-6138
Mailing address
4228 S 140TH RD, BOLIVAR, MO 65613-8371
(417) 838-5848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019021590
MO
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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