Individual
CASSANDRA RENEE MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
104 NE 72ND ST STE G, GLADSTONE, MO 64118-1830
(816) 508-1600
Mailing address
8150 WORNALL RD, KANSAS CITY, MO 64114-5806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023015547
MO
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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