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Individual

AMY LEANN GRAGG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
3737 S ELIZABETH ST, SUITE 100, INDEPENDENCE, MO 64057-1759
(816) 373-7577
(816) 373-9572
Mailing address
3737 S ELIZABETH ST, SUITE 100, INDEPENDENCE, MO 64057-1759
(816) 373-7577
(816) 373-9572

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002021314
MO
1041C0700X
Clinical Social Worker
2440
KS

Other

Enumeration date
06/02/2006
Last updated
07/21/2022
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