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Clinical Social Worker · Belton, MO

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At a glance

6 Kendi Ln, Belton, MO 64012-9739

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

6 Kendi Ln
Belton, MO 64012-9739
Professional details: NPI, taxonomy & registry record
NPI1275500563
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Mar 5, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License reported: SW002410 MO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6 Kendi Ln
Belton, MO 64012-9739
Phone
(816) 318-1881
Fax
(816) 318-1881
Mailing address
PO BOX 642

BELTON, MO 640120642
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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