Individual
CALEB MATTHEW BLAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
441 NW W HWY, KINGSVILLE, MO 64061-9117
(816) 308-0246
Mailing address
441 NW W HWY, KINGSVILLE, MO 64061-9117
(816) 308-0246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022004384
MO
Other
Enumeration date
12/16/2018
Last updated
08/21/2025
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