Individual
DAESHEONNA LATRICE GRAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7610 LOMA VISTA DR, KANSAS CITY, MO 64138-4041
(816) 372-4432
Mailing address
7610 LOMA VISTA DR, KANSAS CITY, MO 64138-4041
(816) 372-4432
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MO
Other
Enumeration date
08/30/2016
Last updated
05/18/2021
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