Individual
MS. NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 765-6600
(816) 767-4101
Mailing address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 765-6600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2011008919
MO
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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