Individual
JUSTIN ROSS NEWKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, PLCSW
Contact information
Practice address
3210 S LEES SUMMIT RD, INDEPENDENCE, MO 64055-1998
(913) 221-7477
Mailing address
PO BOX 860764, SHAWNEE MISSION, KS 66286-0764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009026588
MO
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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