Individual
MRS. JENNIFER GAYE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3100 NE 83RD ST STE 1001, KANSAS CITY, MO 64119-4460
(816) 468-0400
(816) 468-6623
Mailing address
15809 LAKESHORE DR, SMITHVILLE, MO 64089-8143
(816) 365-4273
(816) 468-6623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8151
KS
1041C0700X
Clinical Social Worker
Primary
2014005795
MO
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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