Individual
MR. MICHAEL EUGENE JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
513 NE OLYMPIC CT, LEES SUMMIT, MO 64064-1306
(816) 350-2963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009379
WA
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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