Individual
LAURA MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3801 BLUE PWKY, KANSAS CITY, MO 64130
(816) 599-5533
Mailing address
1108 E 30TH ST APT 215, KANSAS CITY, MO 64109-1517
(540) 735-6039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MO
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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