Individual
BREANNA R WORSTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 SNOWBERRY LN, JOPLIN, MO 64804-5420
(417) 347-7579
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022033859
MO
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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