Individual
MR. MARK D LEAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
3210 GILLHAM RD, KANSAS CITY, MO 64109-1714
(816) 531-7737
(816) 531-7738
Mailing address
205 SE 2ND ST, BLUE SPRINGS, MO 64014-3103
(816) 224-0172
(816) 220-8163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003019892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495353310
—
MO
Enumeration date
09/11/2006
Last updated
03/11/2024
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