Individual
DARRELL NABOH JULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-T
Contact information
Practice address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
(816) 347-3200
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2021025112
MO
1041C0700X
Clinical Social Worker
12559-T
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
Enumeration date
06/15/2022
Last updated
07/22/2024
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