Organization
ELIZABETH HUNTER-BLANK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH LEONA HUNTER-BLANK LCSW, LSCSW (OWNER)
(816) 582-3877
Entity
Organization
Contact information
Practice address
4104 CENTRAL ST, KANSAS CITY, MO 64111-2307
(816) 582-3877
(913) 362-5597
Mailing address
4104 CENTRAL ST, KANSAS CITY, MO 64111-2307
(816) 582-3877
(913) 362-5597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1999135382
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494763600
—
MO
Enumeration date
09/13/2006
Last updated
07/29/2014
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