| Elizabeth Hunter-blank, Llc | |
|
4104 Central St Kansas City MO 64111-2307 | |
| (816) 582-3877 | |
| (913) 362-5597 |
| Full Name | Elizabeth Hunter-blank, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4104 Central St, Kansas City, Missouri |
| Authorized Official Name and Position | Elizabeth Leona Hunter-blank (OWNER) |
| Authorized Official Contact | 8165823877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Hunter-blank, Llc 4104 Central St Kansas City MO 64111-2307 Ph: (816) 582-3877 | Elizabeth Hunter-blank, Llc 4104 Central St Kansas City MO 64111-2307 Ph: (816) 582-3877 |
| NPI Number | 1992800395 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992800395 | NPI | - | NPPES |
| 494763600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1999135382 (Missouri) | Primary |
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