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NPI Code Detail

MEDICARE: MR. CURTIS LEIGH JONES JR. MSW, LCSW

MEDICARE: MR. CURTIS LEIGH JONES JR. MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2007028586MO

General Provider Information

NPI Number : 1144482464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CURTIS LEIGH JONES JR. MSW, LCSW
Provider Business Mailing Address
First Line : 2864 S NETTLETON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5970
Country : US
Telephone Number : 417-886-1188
Fax Number :
Provider Business Practice Location Address
First Line : 2864 S NETTLETON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5970
Country : US
Telephone Number : 417-886-1188
Fax Number : 417-886-3619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 02/07/2011

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