Individual
MARY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 302-3668
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 447-1102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2025007941
MO
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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