Organization
CHILDREN'S TLC
Active
Other names
Children's Therapeutic Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA M LARSON (BILLING COORDINATOR)
(816) 389-2710
Entity
Organization
Contact information
Practice address
3101 MAIN STREET, KANSAS CITY, MO 64111-1921
(816) 756-0780
(816) 756-1677
Mailing address
3101 MAIN STREET, KANSAS CITY, MO 64111-1921
(816) 756-0780
(816) 756-1677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006014615
MO
Other
Enumeration date
06/18/2006
Last updated
10/06/2011
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