Individual
CHANTA S TINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
124 S MAIN ST, INDEPENDENCE, MO 64050-3703
(816) 786-9742
Mailing address
7100 NE 116TH TER, KANSAS CITY, MO 64156-7917
(816) 786-9742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2021043399
MO
Other
Enumeration date
05/16/2022
Last updated
06/25/2024
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