Individual
MERRITT BENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4044 CENTRAL ST, KANSAS CITY, MO 64111-2228
(816) 659-5264
Mailing address
4044 CENTRAL ST, KANSAS CITY, MO 64111-2228
(816) 659-5264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012029758
MO
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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