Individual
KEITH BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 HIGHWAY WW, MARSHALL, MO 65340-9589
(660) 886-2253
(660) 886-6601
Mailing address
PO BOX 333, MARSHALL, MO 65340-0333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW001319
MO
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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