Individual
KIMBERLY TKACZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7611 STATE LINE RD STE 200, KANSAS CITY, MO 64114-1670
(816) 653-3927
Mailing address
7611 STATE LINE RD STE 200, KANSAS CITY, MO 64114-1670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024011355
MO
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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