Individual
SHERYL CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 NE 113TH TER, KANSAS CITY, MO 64155-2923
(816) 734-5858
(816) 734-5311
Mailing address
1606 NE 113TH TER, KANSAS CITY, MO 64155-2923
(816) 734-5858
(816) 734-5311
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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