Individual
JULIE L JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
714 N POMME DE TERRE AVE, BOLIVAR, MO 65613-1241
(417) 326-7272
(471) 326-2193
Mailing address
PO BOX 49, BOLIVAR, MO 65613-0049
(417) 326-7272
(417) 326-2193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006016127
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006016127
MO STATE LICENSE
MO
Enumeration date
10/24/2006
Last updated
07/08/2007
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