Individual
RYANN ANNE MALLONEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 VICTORY LN, STE 102, LIBERTY, MO 64068-2395
(816) 678-1420
Mailing address
12577 STATE ROUTE 92, KEARNEY, MO 64060
(816) 678-1420
(816) 533-4106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009009730
MO
Other
Enumeration date
08/19/2011
Last updated
10/20/2016
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