Individual
MISS CULLE L. VANDE GARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAC
Contact information
Practice address
4104 CENTRAL ST, KANSAS CITY, MO 64111-2307
(913) 706-5214
Mailing address
4104 CENTRAL ST, KANSAS CITY, MO 64111-2307
(913) 706-5214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004009155
MO
1041C0700X
Clinical Social Worker
2419
KS
1041C0700X
Clinical Social Worker
992527
CO
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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