Individual
CRYSTAL ROSE RECKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 NE 85TH TER, KANSAS CITY, MO 64155-2671
(316) 833-6866
Mailing address
1204 NE 85TH TER, KANSAS CITY, MO 64155-2671
(316) 833-6866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015044122
MO
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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