Individual
MARLENE M WINE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9938 MADISON AVE, KANSAS CITY, MO 64114-4253
(816) 352-4814
Mailing address
9938 MADISON AVE, KANSAS CITY, MO 64114-4253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005695
MO
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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