Individual
MIRANDA TAMBURELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 599-5292
Mailing address
1552 BROMPTON LN, RAYMORE, MO 64083-8616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017010468
MO
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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