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Individual

MARIAN ELISE CUMMINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COMS

Contact information

Practice address
4030 CHARLOTTE ST, KANSAS CITY, MO 64110-1120
(816) 468-3607
Mailing address
4030 CHARLOTTE ST, KANSAS CITY, MO 64110-1120
(816) 468-3607

Taxonomy

Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
22810
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22810
ACVREP
MO
Enumeration date
01/11/2022
Last updated
01/11/2022
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