Individual
NICOLE LEANNE HORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
3191 OLD CAPE RD, JACKSON, MO 63755-3725
(573) 204-8901
Mailing address
3191 OLD CAPE RD, JACKSON, MO 63755-3725
(573) 204-8901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009033755
MO
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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