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Individual

KATE MARIE PAVLICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1579 NE RICE RD, LEE'S SUMMIT, MO 64086
(816) 966-0900
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2022013892
MO
101YP2500X
Professional Counselor
Primary
2022013892
MO

Other

Enumeration date
04/29/2022
Last updated
07/23/2024
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