Individual
MRS. KELLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
3100 NE 83RD ST, KANSAS CITY, MO 64119-4400
(816) 468-0400
Mailing address
8126 SUMMIT ST, KANSAS CITY, MO 64114-2242
(816) 506-8170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022040472
MO
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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