Individual
PATRICIA L MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8016 STATE LINE RD STE 205, PRAIRIE VILLAGE, KS 66208-3713
(816) 401-4976
Mailing address
420 E 73RD ST, KANSAS CITY, MO 64131-1621
(816) 401-4976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW003342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27228051
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
Enumeration date
07/04/2006
Last updated
04/07/2021
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