Individual
JASON WEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5264 S TIMBERLAKE DR, SPRINGFIELD, MO 65804-7723
(484) 429-3540
Mailing address
5264 S TIMBERLAKE DR, SPRINGFIELD, MO 65804-7723
(484) 429-3540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012021500
MO
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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