Joel Adrian Sansoucie | Farmington, MO • PECOS Search

Joel Adrian Sansoucie

Social Worker

Behavioral Health & Social Service Providers

1085 Maple St, Farmington, MO 63640-1955

PECOS Enrollment

Based on the most recent information from CMS, provider Joel Adrian Sansoucie does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:13 AM.

Profile Details

Provider ID
1649437237
Provider Type
Individual
Full Name
Sansoucie, Joel Adrian
Credential
M.S.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/21/2008
Last Updated
5/21/2008

Contact Information

Practice Location

1085 Maple St, Farmington, MO 63640-1955

Unlisted Fax

Mailing Location

1085 Maple St, Farmington, MO 63640-1955

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer