Individual
CHARIS SUZANNE PASTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4200 LITTLE BLUE PKWY, SUITE 360, INDEPENDENCE, MO 64057-8312
(816) 373-9240
Mailing address
3504 SE ADAMS DR, BLUE SPRINGS, MO 64014-5458
(816) 210-4881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011004120
MO
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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