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Individual

AMANDA MARIE ROSENBAUM-OUDE ALINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW, LCSW

Contact information

Practice address
5108 NW 66TH ST, KANSAS CITY, MO 64151-1949
(166) 545-8458
Mailing address
5108 NW 66TH ST, KANSAS CITY, MO 64151-1949
(166) 545-8458

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9175
KS
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
2018044949
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098080A
KS
01
100098080C
SED WAIVER
KS
Enumeration date
09/14/2010
Last updated
12/04/2022
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