Individual
EVAN E GAMSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 W MECHANIC AVE, INDEPENDENCE, MO 64050-1769
(913) 269-0577
Mailing address
4515 W 78TH TER, PRAIRIE VILLAGE, KS 66208-4363
(913) 269-0577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005218
MO
Other
Enumeration date
10/27/2007
Last updated
10/27/2007
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