Individual
CHESSIE HAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 E 24TH ST, KANSAS CITY, MO 64127-3707
(913) 428-7740
Mailing address
1801 E 24TH ST, KANSAS CITY, MO 64127-3707
(913) 428-7740
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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