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Individual

ALEXA LAURA HENAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-6200
(417) 782-6210
Mailing address
PO BOX 758, NEOSHO, MO 64850-0758
(417) 451-9450
(417) 451-8903

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2021005783
MO

Other

Enumeration date
02/22/2021
Last updated
02/22/2021
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