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Individual

JONATHAN BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSCSW, LCSW

Contact information

Practice address
600 MINNESOTA AVE, KANSAS CITY, KS 66101-2806
(913) 708-2741
Mailing address
2451 JASU DR, LAWRENCE, KS 66046-4456

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06271
KS
1041C0700X
Clinical Social Worker
2025032794
MO

Other

Enumeration date
09/18/2019
Last updated
11/21/2025
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