Individual
ERICA L MAGSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8102
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12252
NE
103TC0700X
Clinical Psychologist
Primary
03063
KS
Other
Enumeration date
10/13/2020
Last updated
10/26/2022
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