Individual
RADIYA AFNAN SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8559 N LINE CREEK PKWY, KANSAS CITY, MO 64154-2100
(816) 468-8282
Mailing address
3907 CAMPBELL ST, KANSAS CITY, MO 64110-1111
(216) 973-2553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024027036
MO
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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