Individual
JESSICA HUNOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
105 PFEIFFER AVE, KIRKSVILLE, MO 63501-5047
(660) 665-4612
Mailing address
917 BROADWAY, HANNIBAL, MO 63401-4200
(573) 221-2120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010017971
MO
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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