| Addy Van Os Keuls Lcsw Llc | |
|
2900 Independence Sq West Plains MO 65775-4238 | |
| (417) 785-3090 | |
| Not Available |
| Full Name | Addy Van Os Keuls Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2900 Independence Sq, West Plains, Missouri |
| Authorized Official Name and Position | Addy Van Os Keuls (OWNER) |
| Authorized Official Contact | 4178550241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addy Van Os Keuls Lcsw Llc Po Box 1055 West Plains MO 65775-1055 Ph: (417) 855-0241 | Addy Van Os Keuls Lcsw Llc 2900 Independence Sq West Plains MO 65775-4238 Ph: (417) 785-3090 |
| NPI Number | 1346014461 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346014461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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