Individual
MICHAEL S CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-4417
(816) 671-0961
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-4417
(816) 671-0961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000121
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288780D
—
KS
05
—
493212310
—
MO
Enumeration date
05/26/2006
Last updated
06/22/2009
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