Individual
JUDITH A KOTECKI-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4631
Mailing address
1007 S 56TH ST, KANSAS CITY, KS 66106-1523
(913) 328-4631
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LCP 026
KS
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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