Provider First Line Business Practice Location Address:
302 SOUTH JOPLIN ST
Provider Second Line Business Practice Location Address:
ECONOMIC SECURITY CORPORATION OF SOUTHWEST AREA
Provider Business Practice Location Address City Name:
JOPLIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-781-0352
Provider Business Practice Location Address Fax Number:
417-781-1234
Provider Enumeration Date:
06/20/2011