Individual
MS. NICOLE A, STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112
(913) 956-3457
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4579
KS
Other
Enumeration date
06/24/2011
Last updated
09/04/2018
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