Individual
AMY DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
340 PARK AVE, KANSAS CITY, MO 64124-1734
(816) 914-2988
Mailing address
340 PARK AVE, KANSAS CITY, MO 64124-1734
(816) 914-2988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8336
KS
1041C0700X
Clinical Social Worker
Primary
2014018300
MO
Other
Enumeration date
08/22/2011
Last updated
03/22/2015
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