Individual
MARISSA KILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8301 STATE LINE RD STE 205, KANSAS CITY, MO 64114-2019
(913) 608-4312
Mailing address
5220 W 166TH ST, STILWELL, KS 66085-8119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10464
KS
104100000X
Social Worker
Primary
2017033636
MO
Other
Enumeration date
11/20/2017
Last updated
03/25/2022
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