Individual
MRS. DEBRA MORENO LANDIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Contact information
Practice address
2 E 59TH ST, KANSAS CITY, MO 64113-2116
(816) 363-1898
(816) 822-7711
Mailing address
2 E 59TH ST, KANSAS CITY, MO 64113-2116
(816) 363-1898
(816) 822-7711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005319
MO
1041C0700X
Clinical Social Worker
3123
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28055011
BCBSKC
MO
05
—
4997664000
—
MO
Enumeration date
06/05/2006
Last updated
07/09/2007
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