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Individual

GLORIA ELVA CANTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 287-0007
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 287-0007

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12975
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629159389
KS
Enumeration date
02/14/2023
Last updated
02/14/2023
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