| Change Of Life Llc | |
|
7280 Nw 87th Ter Ste 210 Kansas City MO 64153-3720 | |
| (816) 529-5990 | |
| Not Available |
| Full Name | Change Of Life Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7280 Nw 87th Ter, Kansas City, Missouri |
| Authorized Official Name and Position | Jennifer D Newcomer (SOLE PROPRIETOR) |
| Authorized Official Contact | 8165295990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Of Life Llc 4602 Ne 83rd Ter Kansas City MO 64119-7617 Ph: () - | Change Of Life Llc 7280 Nw 87th Ter Ste 210 Kansas City MO 64153-3720 Ph: (816) 529-5990 |
| NPI Number | 1598121261 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598121261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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