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Individual

JOAN LUCILLE SEARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240
Mailing address
1230 N DUQUESNE RD, JOPLIN, MO 64801-1509
(417) 782-1443
(417) 782-3240

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1900-C
AR
1041C0700X
Clinical Social Worker
Primary
2007036534
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5Y353
BLUE SHIELD PROIVDER #
AR
Enumeration date
07/07/2006
Last updated
01/24/2013
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