John W Kisthardt, LMSW

NPI #1184136046 in Marshall, Missouri

Provider Information

NPI Number: 1184136046
Entity Type: Individual
Name: John W Kisthardt, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Nov 1, 2017
Last Updated: Nov 1, 2017

Practice Location

Address: 1126 E HIGHWAY WW
City: Marshall
State: Missouri
ZIP Code: 65340-4641
Phone: (660) 886-2253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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