Organization
ADDY VAN OS KEULS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDY VAN OS KEULS LCSW (OWNER)
(417) 855-0241
Entity
Organization
Contact information
Practice address
2900 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4238
(417) 785-3090
Mailing address
PO BOX 1055, WEST PLAINS, MO 65775-1055
(417) 855-0241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
04/18/2024
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