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Individual

MS. JENNIFER DAWN NEWCOMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5775 NW 64TH TER, STE. 202, KANSAS CITY, MO 64151-2382
(816) 505-3333
(816) 753-7744
Mailing address
4602 NE 83RD TER, KANSAS CITY, MO 64119-7617
(816) 529-5990

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC1 (PENDING)
KS
104100000X
Social Worker
2000168346
MO
104100000X
Social Worker
2156
KS
1041C0700X
Clinical Social Worker
Primary
2000168346
MO

Other

Enumeration date
09/30/2005
Last updated
12/15/2014
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