Organization
BOYS&GIRLSTOWNOFMO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN J SCHUTZ LPC (THERAPIST)
(417) 865-1646
Entity
Organization
Contact information
Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
Mailing address
3535 S VALLEY VIEW AVE, SPRINGFIELD, MO 65804-4686
(417) 865-1646
(417) 866-1483
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1999137154
MO
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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