Organization
MARLENE LITTLETON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE LITTLETON (OWNER/THERAPIST)
(816) 820-0306
Entity
Organization
Contact information
Practice address
1170 W KANSAS ST, BUILDING 10, LIBERTY, MO 64068-2036
(816) 820-0306
Mailing address
1911 LOUGHREY ST, LIBERTY, MO 64068-3097
(816) 820-0306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW005482
MO
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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