Individual
KELSEY MCLAURINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 WESTPORT RD, KANSAS CITY, MO 64111-4307
(913) 703-6236
Mailing address
1511 WESTPORT RD, KANSAS CITY, MO 64111-4307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2023024666
MO
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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