Sturdivan, Jeffery
Sturdivan, Jeffery is an sole proprietor health care provider with primary practice located at 114 E South Hills Dr , Maryville MO 64468-2659. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Sturdivan, Jeffery can be contacted via phone (660) 562-2525.Contact Information
Primary practice address
114 E South Hills Dr
Maryville MO 64468-2659
Phone: (660) 562-2525
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2018031632 | Missouri |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2016029995 | Missouri |
Profile Details
NPI number | 1275081499 |
---|---|
LBN Legal business name | Sturdivan, Jeffery |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2016 |
Last updated | Jun 25th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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