Individual
STORMY D GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-6200
(417) 782-6210
Mailing address
233 FAIR RD, GOODMAN, MO 64843-6000
(417) 389-6325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2023045725
MO
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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