Individual
MARIA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
103 S MAIN ST STE 3, KENNETT, MO 63857-3039
(573) 840-0440
(870) 324-5121
Mailing address
103 S MAIN ST STE 3, KENNETT, MO 63857-3039
(573) 840-0440
(870) 324-5121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023030321
MO
Other
Enumeration date
08/02/2023
Last updated
08/07/2023
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