Individual
MR. JOSEPH MILTON DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
3944 W LINWOOD ST, SPRINGFIELD, MO 65807-1091
(417) 848-8919
Mailing address
3944 W LINWOOD ST, SPRINGFIELD, MO 65807-1091
(417) 848-8919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008024001
MO
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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