Individual
NICOLE LYNN JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 MCCLELLAND, JOPLIN, MO 64804
(417) 347-7700
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2020012454
MO
1041C0700X
Clinical Social Worker
Primary
2022028662
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/04/2019
Last updated
08/01/2022
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