Individual
AMANDA FAY TYRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9700 GRANDVIEW RD, KANSAS CITY, MO 64137-1135
(816) 508-3400
Mailing address
9700 GRANDVIEW RD, P.O. BOX 9888, KANSAS CITY, MO 64137-1135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2014006981
MO
104100000X
Social Worker
8358
KS
Other
Enumeration date
09/17/2012
Last updated
03/18/2014
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