Individual
MALLORY TWENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
5904 E BANNISTER RD, KANSAS CITY, MO 64134-1141
(816) 966-0900
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
12/03/2024
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