MEDICARE: JUDITH ANNE YOAKUM LMSW

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
1	104100000X	Social Worker	2018035597	MO

General Provider Information

NPI Number	:	1316584295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH ANNE YOAKUM LMSW

Provider Business Mailing Address
First Line	:	525 BRANSON LANDING BLVD STE 408
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2192
Country	:	US
Telephone Number	:	417-348-8313
Fax Number	:	417-348-8319

Provider Business Practice Location Address
First Line	:	525 BRANSON LANDING BLVD STE 408
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2192
Country	:	US
Telephone Number	:	417-348-8313
Fax Number	:	417-348-8319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	12/10/2019

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Directions to “ JUDITH ANNE YOAKUM LMSW” Practice Location

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