Individual
SINORA LEVETTE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4121 SPRUCE AVE, KANSAS CITY, MO 64130-1553
(816) 255-5562
Mailing address
4121 SPRUCE AVE, KANSAS CITY, MO 64130-1553
(816) 255-5562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2004015737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004015737
LICENSE
MO
05
—
499267714
—
MO
Enumeration date
04/10/2007
Last updated
07/14/2021
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