Organization
CHILDREN'S THERAPUTIC LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY MONTGOMERY CCC-SLP (PROGRAM DIRECTOR)
(816) 756-0780
Entity
Organization
Contact information
Practice address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 756-0780
(816) 756-1677
Mailing address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2009014174
MO
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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