Individual
AMANDA SUE PINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7211 NW 83RD ST STE 130, KANSAS CITY, MO 64152-6036
(913) 257-3161
Mailing address
7211 NW 83RD ST STE 130, KANSAS CITY, MO 64152-6036
(913) 257-3161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018024354
MO
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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