Individual
MS. MARTHA PATTON CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4730 TERRACE ST, KANSAS CITY, MO 64112-1128
(816) 830-3181
Mailing address
4730 TERRACE ST., KANSAS CITY, MO 64112
(816) 830-3181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012003452
MO
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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