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Individual

MR. CECIL ELLIOTT WATTREE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSCSW, LCSW

Contact information

Practice address
9801 RICHMOND AVE, KANSAS CITY, MO 64134-1639
(816) 601-9910
Mailing address
9801 RICHMOND AVE, KANSAS CITY, MO 64134-1639
(816) 601-9910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
05488
KS
1041C0700X
Clinical Social Worker
Primary
2021012425
MO

Other

Enumeration date
10/11/2021
Last updated
10/11/2021
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