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Individual

STANLEY ARCHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6301 ROCKHILL RD, 106, KANSAS CITY, MO 64131-1124
(816) 807-6605
Mailing address
6301 ROCKHILL RD, 106, KANSAS CITY, MO 64131-1124
(816) 807-6605

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012037387
MO

Other

Enumeration date
09/02/2014
Last updated
09/02/2014
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