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Individual

MS. ELIZABETH LEONA HUNTER-BLANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,LSCSW

Contact information

Practice address
4104 CENTRAL ST, KANSAS CITY, MO 64111-2307
(816) 582-3877
(913) 362-5597
Mailing address
6512 OVERBROOK RD, MISSION HILLS, KS 66208-1940
(816) 582-3877
(913) 362-5597

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1999135382
MO
1041C0700X
Clinical Social Worker
2075
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
494763600
MO
Enumeration date
06/28/2006
Last updated
07/08/2007
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