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Individual

LAUREN MACKENZIE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9641 N AMBASSADOR DR UNIT 1602, KANSAS CITY, MO 64154-7251
(816) 812-8071
Mailing address
9641 N AMBASSADOR DR UNIT 1602, KANSAS CITY, MO 64154-7251
(816) 812-8071

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
11038
KS
104100000X
Social Worker
11038
KS
1041C0700X
Clinical Social Worker
Primary
2024002261
MO

Other

Enumeration date
06/10/2021
Last updated
05/20/2024
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