Individual
CHRISTINE Y MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 SE BLUE PKWY, LEES SUMMIT, MO 64063-4352
(816) 986-2169
Mailing address
400 SE BLUE PKWY, LEES SUMMIT, MO 64063-4352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018002424
MO
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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