Individual
MR. JAMES QUENTIN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1850 W REPUBLIC RD, SPRINGFIELD, MO 65807-5730
(844) 501-8387
(417) 891-4981
Mailing address
1850 W REPUBLIC RD, SPRINGFIELD, MO 65807-5730
(844) 501-8387
(417) 891-4981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018012286
MO
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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