Individual
BLANE MINOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5904 E BANNISTER RD, KANSAS CITY, MO 64134-1141
(816) 966-0900
(816) 761-3433
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023020596
MO
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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