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Individual

MICHAEL PAUL FRANKLIN NOBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
2121 SUMMIT ST, KANSAS CITY, MO 64108-2126
(816) 471-0900
(816) 471-3150
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 889-1847

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9318
KS
1041C0700X
Clinical Social Worker
Primary
2016003045
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588063929
MO
01
2016003045
LICENSE
MO
Enumeration date
08/21/2014
Last updated
10/12/2016
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