Individual
MRS. JULIA RENEE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
(816) 984-8280
Mailing address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2020026571
MO
1041C0700X
Clinical Social Worker
Primary
2023001094
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/13/2018
Last updated
01/30/2023
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