Individual
JONATHAN EMMANUEL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130-2807
(913) 961-9962
Mailing address
99 S 17TH ST, KANSAS CITY, KS 66102-4946
(913) 961-9962
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2023031829
MO
1041C0700X
Clinical Social Worker
14492
KS
1041C0700X
Clinical Social Worker
2023031829
MO
1041C0700X
Clinical Social Worker
Primary
2026019386
MO
Other
Enumeration date
08/08/2023
Last updated
05/06/2026
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