Individual
CAITLYN CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5155 RAYTOWN RD, KANSAS CITY, MO 64133-2141
(816) 648-6830
(816) 648-6880
Mailing address
224 W MAPLE AVE, INDEPENDENCE, MO 64050-2816
(816) 381-7690
(816) 381-7652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024017854
MO
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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