Individual
KETURAH JOLENE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
504 W MAIN ST, WEST PLAINS, MO 65775-2732
(417) 252-0846
Mailing address
PO BOX 1475, WEST PLAINS, MO 65775-1475
(417) 815-4769
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019029468
MO
Other
Enumeration date
08/01/2019
Last updated
07/13/2022
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