Individual
SARAH MIELENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2300
Mailing address
4304 S HUNTINGTON WAY, INDEPENDENCE, MO 64055-4847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2018033373
MO
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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