Individual
BILLY JOE BERHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W. L.C.S.W.
Contact information
Practice address
14 JAN MAR DR, CANTON, MO 63435-1201
(217) 430-9671
Mailing address
14 JAN MAR DR, CANTON, MO 63435-1201
(174) 309-6712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
007874
IA
1041C0700X
Clinical Social Worker
Primary
149011940
IL
1041C0700X
Clinical Social Worker
2006025160
MO
Other
Enumeration date
08/26/2009
Last updated
08/29/2023
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