Individual
CONNIE SUE POPPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2940 BALTIMORE, KANSAS CITY, MO 64108
(816) 554-4252
Mailing address
209 N PACIFIC CT, RAYMORE, MO 64083-9077
(816) 331-9506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1184
KS
1041C0700X
Clinical Social Worker
Primary
2473
MO
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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