Individual
MRS. DANA LAURIE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19401 E US HIGHWAY 40, SUITE 140, INDEPENDENCE, MO 64055-5450
(816) 373-6761
(816) 373-6591
Mailing address
2012 NE OVERLAND DR, GRAIN VALLEY, MO 64029-8614
(816) 805-7054
(816) 373-6591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006020635
MO
Other
Enumeration date
04/10/2007
Last updated
11/27/2007
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