Individual
KASIDI WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 GAULT ST, CARL JUNCTION, MO 64834-8807
(620) 202-3309
Mailing address
411 GAULT ST, CARL JUNCTION, MO 64834-8807
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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