Individual
MRS. MARILYN ALTHOFF SHANKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5412 N WYANDOTTE ST, GLADSTONE, MO 64118-4418
(816) 863-5674
(816) 453-4674
Mailing address
5412 N WYANDOTTE ST, GLADSTONE, MO 64118-4418
(816) 863-5674
(816) 453-4674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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