Individual
CASSANDRA M CLARK-WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15010 E 51ST ST, KANSAS CITY, MO 64136-1142
(816) 478-9031
(816) 350-3406
Mailing address
4230 S PHELPS RD, INDEPENDENCE, MO 64055-5067
(816) 478-9031
(816) 350-3406
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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