Individual
JESSI GABRIELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW-T
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 563-6500
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12836-T
KS
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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