Individual
CAROLINE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
8801 E 63RD ST STE 101, RAYTOWN, MO 64133-4865
(816) 368-2000
(816) 533-6873
Mailing address
8801 E 63RD ST STE 101, RAYTOWN, MO 64133-4865
(816) 368-2000
(816) 533-6873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017044080
MO
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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