Individual
MR. JOHN ROBERT SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5309 WOOD LAKE CT, COLUMBIA, MO 65202-5747
(573) 499-1873
Mailing address
5309 WOOD LAKE CT, COLUMBIA, MO 65202-5747
(573) 499-1873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000117
MO
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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