Individual
MS. SUSAN JANE DROE-PUNZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
3438 ASHLAND AVENUE, SUITE X, ST JOSEPH, MO 64506
(816) 752-8196
(816) 364-2725
Mailing address
3438 ASHLAND AVENUE, SUITE X, ST JOSEPH, MO 64506
(816) 752-8196
(816) 364-2725
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
002105
MO
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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