Individual
JAMES JAMAAL MOURNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Mailing address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019040570
STATE LICENSE
MO
Enumeration date
09/11/2020
Last updated
09/11/2020
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