Individual
MARIAH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMSW
Contact information
Practice address
5424 STATE AVE, KANSAS CITY, KS 66102-3446
(913) 287-1300
Mailing address
5424 STATE AVE, KANSAS CITY, KS 66102-3446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11357
KS
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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