Organization
CPR OF THE OZARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA ROUTH LMSW (OWNER)
(417) 319-1379
Entity
Organization
Contact information
Practice address
3623 SOUTH AVE, SPRINGFIELD, MO 65807-5220
(417) 319-1379
Mailing address
3623 SOUTH AVE, SPRINGFIELD, MO 65807-5220
(417) 319-1379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/11/2022
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