Individual
JACQUELYN S HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 W REED ST, MOBERLY, MO 65270-1516
(660) 263-7651
(660) 263-2815
Mailing address
416 W. REED ST., MOBERLY, MO 65270
(660) 263-7651
(660) 263-2815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006007821
MO
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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