Individual
BENNIE SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2900 SW 13TH ST, LEES SUMMIT, MO 64081-3800
(816) 516-7114
(816) 761-1899
Mailing address
2900 SW 13TH ST, LEES SUMMIT, MO 64081-3800
(816) 761-1899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001004516
MO
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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