Individual
JUANITA P HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1069 BANNING ST, MARSHFIELD, MO 65706-1010
(417) 761-5900
Mailing address
7464 TIDEWATER DR, NORFOLK, VA 23505-3845
(757) 664-6679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904012806
VA
1041C0700X
Clinical Social Worker
Primary
2021027920
MO
1041C0700X
Clinical Social Worker
65922
TX
Other
Enumeration date
04/08/2021
Last updated
08/18/2025
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