Individual
CAROLYN B YOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
622 W BROADWAY BLVD, SEDALIA, MO 65301-5501
(417) 880-6653
(417) 282-1249
Mailing address
RR 72 BOX 1516, WHEATLAND, MO 65779-9705
(417) 880-6653
(417) 282-1249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002007548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494801046
—
MO
Enumeration date
09/14/2005
Last updated
12/08/2014
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