Individual
KRISTYNA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1300 E 59TH ST, KANSAS CITY, MO 64110-3240
(816) 810-0182
Mailing address
1300 E 59TH ST, KANSAS CITY, MO 64110-3240
(816) 810-0182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05474
KS
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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