Individual
KATRINA MONIQUE STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCMFT
Contact information
Practice address
601 E 63RD ST STE 340, KANSAS CITY, MO 64110-3303
(816) 287-0121
Mailing address
4220 CAMPBELL ST, KANSAS CITY, MO 64110-1136
(816) 533-2371
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2013039841
MO
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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