Individual
MRS. JENNA WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
500 N MAIN ST, POPLAR BLUFF, MO 63901-5050
(269) 998-1459
Mailing address
1915 RAULSTON AVE, POPLAR BLUFF, MO 63901-2928
(269) 998-1459
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
08/09/2016
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