Individual
MRS. CRYSTAL KAY SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 681-0556
Mailing address
446 W 63RD ST, KANSAS CITY, MO 64113-1620
(816) 612-0641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023044932
MO
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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