Individual
LARA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3882
(816) 855-1919
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3882
(816) 855-1919
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4805
KS
1041C0700X
Clinical Social Worker
Primary
2004008560
MO
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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