Individual
JACKIE BOUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 S HUDSON ST, BUCKNER, MO 64016-8142
(877) 344-3572
(660) 251-0524
Mailing address
825 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1515
(660) 259-2440
(660) 251-0524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016029134
MO
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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