Individual
CARRIE DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 NORWOOD ST, FAIRWAY, KS 66205-2647
(816) 678-6728
Mailing address
119 BARBERRY LN, RAYMORE, MO 64083-8632
(816) 678-6728
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T-LMFT 2419
KS
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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