Individual
TAMRA C PAOLILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
137 N BELT HWY, SAINT JOSEPH, MO 64506-3491
(816) 271-6573
(816) 271-6572
Mailing address
137 N BELT HWY, SAINT JOSEPH, MO 64506-3491
(816) 271-6573
(816) 271-6572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW001949
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001309000
COMMUNITY HEALTH PLAN ID
MO
01
—
18524038
BLUE CROSS BLUE SHIELD ID
MO
01
—
241020
VALUE OPTIONS ID
MO
Enumeration date
02/06/2007
Last updated
07/08/2007
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