Individual
MRS. KAYETTA M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-3307
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-3307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000008138
TN
1041C0700X
Clinical Social Worker
2016041690
MO
Other
Enumeration date
02/19/2013
Last updated
07/24/2020
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