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Organization

MINUTECLINIC DIAGNOSTIC OF KANSAS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH JEAN PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization

Contact information

Practice address
3825 S NOLAND RD, INDEPENDENCE, MO 64055-3344
(855) 417-2486
Mailing address
PO BOX 772, WOONSOCKET, RI 02895-0784

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist

Other

Enumeration date
06/08/2023
Last updated
06/08/2023
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