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Individual

GRANT WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMFT

Contact information

Practice address
7199 W 98TH TER, BLDG. #3 STE. #120, OVERLAND PARK, KS 66212-2241
(913) 642-8877
(913) 642-8232
Mailing address
1101 SW COACHLIGHT DR, LEES SUMMIT, MO 64081-3780

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT337
KS

Other

Enumeration date
05/16/2007
Last updated
07/08/2007
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