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Individual

DR. LARRY RO-TROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
8301 STATE LINE RD, SUITE 216, KANSAS CITY, MO 64114
(816) 523-4440
(816) 523-8782
Mailing address
8301 STATE LINE RD, SUITE 216, KANSAS CITY, MO 64114
(816) 523-4440
(816) 523-8782

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1279
KS
103T00000X
Psychologist
Primary
PY00785
MO
106H00000X
Marriage & Family Therapist
300032
MO

Other

Enumeration date
09/20/2006
Last updated
11/23/2011
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