Individual
MR. HARLEY V GULLETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000440
MO
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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