Individual
MARTIN LEE MCCRARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CCDP
Contact information
Practice address
3211 WOODLAND AVE, KANSAS CITY, MO 64109-2073
(816) 966-0900
(816) 347-3200
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2018030969
MO
104100000X
Social Worker
Primary
2018030969
MO
Other
Enumeration date
01/22/2019
Last updated
09/25/2023
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