Individual
JENNA M RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 E 32ND ST, JOPLIN, MO 64804-3312
(417) 347-7567
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024033378
MO
Other
Enumeration date
07/28/2022
Last updated
08/20/2024
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