Individual
KATHRYN DANIELLE DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
Mailing address
1555 NE RICE RD BLDG B, LEES SUMMIT, MO 64086-5849
(816) 966-0900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9309
KS
1041C0700X
Clinical Social Worker
2016002181
MO
1041C0700X
Clinical Social Worker
Primary
2020035033
MO
Other
Enumeration date
07/08/2014
Last updated
11/23/2020
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