Individual
MRS. LARA BREED JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3217 BROADWAY ST, SUITE 150, KANSAS CITY, MO 64111-2656
(816) 753-5280
(816) 753-4219
Mailing address
7232 N HICKORY ST, KANSAS CITY, MO 64118-2794
(816) 436-2325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001011721
MO
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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