Individual
CLARISSA BOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
2401 GILLHAM ROAD, ATTN: PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022004932
MO
Other
Enumeration date
07/28/2017
Last updated
09/24/2024
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