Individual
SUZY CHARLES-MEZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 965-1100
Mailing address
8010 NE 110TH TER, KANSAS CITY, MO 64157-8172
(816) 585-8785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020041273
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11967
MY LMSW KANSAS NO.
KS
01
—
2020041273
MY LMSW LICENSE NO.
MO
Enumeration date
01/08/2021
Last updated
01/08/2021
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