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Individual

DAKOTAH JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6301 ROCKHILL RD, KANSAS CITY, MO 64131-1124
(573) 795-3997
Mailing address
11305 MONTGALL AVE APT 705, KANSAS CITY, MO 64137-3515

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10786
KS
1041S0200X
School Social Worker
10786
KS

Other

Enumeration date
12/03/2018
Last updated
04/02/2019
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