Individual
MRS. CRYSTAL MARIE RODENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4149 PENNSYLVANIA AVE STE 205, KANSAS CITY, MO 64111-3034
(816) 531-6030
Mailing address
4149 PENNSYLVANIA AVE STE 205, KANSAS CITY, MO 64111-3034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2012021026
MO
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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