Individual
VICTORIA LOUISE ENSINIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8333 E BLUE PKWY, KANSAS CITY, MO 64133-4750
(816) 474-7677
(816) 767-7671
Mailing address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 765-6600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2018036402
MO
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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