Individual
MR. BENJAMIN MICHAEL MUSTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.S.W.
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 287-0007
(913) 287-0354
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 287-0007
(913) 287-0354
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7185
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
Enumeration date
07/14/2008
Last updated
07/14/2008
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