Individual
LAURA MAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2632 E 29TH ST, KANSAS CITY, MO 64128-1109
(816) 739-7450
Mailing address
2632 E 29TH ST, KANSAS CITY, MO 64128-1109
(816) 739-7450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
05471
KS
1041C0700X
Clinical Social Worker
Primary
2018012922
MO
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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