Individual
JENNIFER NICOLE SCHULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
33 GAGE DR STE 100, HOLLISTER, MO 65672-5862
(417) 337-9554
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2018038096
MO
1041C0700X
Clinical Social Worker
Primary
2021008475
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490063471
—
MO
Enumeration date
08/20/2007
Last updated
08/16/2021
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