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Individual

MRS. AMIE JOANN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-3317
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-3317

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7036
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7036
BEHAVIORAL SCIENCES REGULATORY BOARD
KS
Enumeration date
10/18/2007
Last updated
07/14/2008
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