Individual
BROOKE MACKENZIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 328-4600
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03157
KS
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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