Individual
DARYL HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 747-2424
(573) 756-4316
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 747-2424
(573) 756-4316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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