Individual
MARY KATHERINE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 E 69TH ST, KANSAS CITY, MO 64113-2516
(573) 289-2623
Mailing address
325 E 69TH ST, KANSAS CITY, MO 64113-2516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017038750
MO
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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