Individual
DR. JESSICA AGUDELO BENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Contact information
Practice address
435 NICHOLS RD STE 200, KANSAS CITY, MO 64112-2036
(816) 368-2000
Mailing address
PO BOX 901348, KANSAS CITY, MO 64190-1348
(816) 535-0975
(816) 298-1452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
092290
NY
1041C0700X
Clinical Social Worker
Primary
2018003790
MO
Other
Enumeration date
07/20/2014
Last updated
01/24/2020
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