Individual
JERRY NEIL SPURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
917 BROADWAY, HANNIBAL, MO 63401-4200
(573) 221-2120
(573) 221-4380
Mailing address
917 BROADWAY, HANNIBAL, MO 63401-4200
(573) 221-2120
(573) 221-4380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015031751
MO
Other
Enumeration date
06/06/2016
Last updated
06/13/2016
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