Individual
JODI LYNNE DANCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1826
(417) 257-6762
Mailing address
2916 US HIGHWAY 63, WILLOW SPRINGS, MO 65793-9289
(417) 616-3039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022000964
MO
104100000X
Social Worker
—
—
Other
Enumeration date
09/28/2021
Last updated
06/11/2024
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