Individual
MRS. ALICIA BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8150 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 508-3500
Mailing address
3524 LOCUST ST, KANSAS CITY, MO 64109-2263
(913) 488-8178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2008023083
MO
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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