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Individual

SHEDRIKA ATWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
12209 E 55TH ST, KANSAS CITY, MO 64133-3106
(816) 359-1581
(816) 255-3408
Mailing address
12209 E 55TH ST, KANSAS CITY, MO 64133-3106
(816) 359-1581
(816) 255-3408

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MO
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
6207-11776
MO

Other

Enumeration date
12/09/2009
Last updated
12/09/2009
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