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Individual

MRS. KENDRA MICHELE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1106 S BEECH ST, SAVANNAH, MO 64485-2107
(816) 262-5494
Mailing address
1106 S BEECH ST, SAVANNAH, MO 64485-2107
(816) 262-5494

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014038521
MO

Other

Enumeration date
06/15/2012
Last updated
02/02/2018
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