Individual
MRS. CARLY RENAE ELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LMSW, CRC
Contact information
Practice address
1605 SE HILLSIDE DR, OAK GROVE, MO 64075-9406
(816) 560-3227
(816) 625-1147
Mailing address
2100 N NOLAND RD, INDEPENDENCE, MO 64050-1647
(816) 560-3227
(877) 807-4544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2015031466
MO
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
2255R0406X
Blind Rehabilitation Specialist/Technologist
—
—
225C00000X
Rehabilitation Counselor
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
Other
Enumeration date
05/24/2012
Last updated
10/26/2016
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