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Individual

MS. BARBARA JO LONGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2431 S RANGELINE RD, STE A, JOPLIN, MO 64804
(417) 439-8717
(417) 627-9968
Mailing address
PO BOX 2446, JOPLIN, MO 64803
(417) 439-2717
(417) 627-9968

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1999135392
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
495251910
MO
Enumeration date
10/04/2006
Last updated
11/03/2015
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