Individual
KATHLEEN G GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
300 GALAXIE AVE, HARRISONVILLE, MO 64701-2084
(816) 380-5167
(816) 380-5841
Mailing address
4820 SW LEAFWING DR, LEES SUMMIT, MO 64082-4865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2003030538
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499305001
—
MO
Enumeration date
01/25/2006
Last updated
08/19/2008
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