Individual
KRIS A. PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1135 W KANSAS ST, SUITE B, LIBERTY, MO 64068-2281
(816) 781-8550
(816) 792-3219
Mailing address
1135 W KANSAS ST, SUITE B, LIBERTY, MO 64068-2281
(816) 781-8550
(816) 792-3219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000567
MO
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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