Jolene Rene Mcqueen-Kidwell, LCSW Valid NPI

Individual provider · Social Worker · Fort Leonard Wood, MO

NPI

1144720376

Type

Individual (Type 1)

Primary specialty

Social Worker

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

104100000X

License number

2016001530 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2018-02-14

Last updated

2024-12-09