Individual
MRS. DEBRA JO HARLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
777 E BATTLEFIELD ST, SUITE 102, B, SPRINGFIELD, MO 65807-4807
(417) 597-4572
Mailing address
201 E HARDY ST, REPUBLIC, MO 65738-2249
(417) 207-6908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009006125
MO
Other
Enumeration date
04/01/2009
Last updated
11/10/2011
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