John Joseph Speckhals LCSW

NPI 1356414825 - Social Worker - 1041C0700X

NPI Details
NPI 1356414825
Gender Male
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
126 MISSOURI AVE
MCXP-CCS-CR BOX 1267
FORT LEONARD WOOD MO, 65473-8952, US
Phone (573) 596-0417
Fax (573) 596-0524
Business Location
126 MISSOURI AVE
MCXP-CCS-CR BOX 1267
FORT LEONARD WOOD MO, 65473-8952, US
Phone (573) 596-0417
Fax (573) 596-0524
Toxanomy
Taxonomy Code 1041C0700X
License State Missouri
License Number 2005041198
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According to our database, Mr. John Joseph Speckhals LCSW NPI is 1356414825, taxonomy code is 1041C0700X and license number is 2005041198, license state is located at Missouri. John Joseph Speckhals LCSW physically located at 126 Missouri Ave, Fort Leonard Wood MO, 65473-8952. NPI Number John Joseph Speckhals LCSW has the Individual type.

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1356414825 NPI number is provided on an as is basis without warranty of any kind. 1356414825 is maintained by the National Plan & Provider Enumeration System. The contents of John Joseph Speckhals LCSW are for informational purposes only.