Individual
LAURA L. WEISENBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 BLUE RIDGE BLVD, RAYTOWN, MO 64133-4847
(816) 356-0923
(816) 356-0925
Mailing address
6612 BLUE RIDGE BLVD, RAYTOWN, MO 64133-4847
(816) 356-0923
(816) 356-0925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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