Individual
KIMBERLY R KOUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 262-6969
Mailing address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 262-6969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022018087
MO
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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