Individual
MR. MARK THOMAS MCGONIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
217 E 63RD ST, KANSAS CITY, MO 64113-2224
(816) 822-0200
(816) 444-6425
Mailing address
222 W GREGORY BLVD, STE 310, KANSAS CITY, MO 64114-1127
(816) 822-0200
(816) 895-5210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003019074
MO
Other
Enumeration date
06/12/2006
Last updated
03/06/2017
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