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6310 Lamar Ave Ste 100 Merriam KS 66202-4284 | |
| (816) 288-2918 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6310 Lamar Ave Ste 100, Merriam, Kansas |
| Authorized Official Name and Position | Bethany A Vroom (PRESIDENT) |
| Authorized Official Contact | 8162882918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12409 E 56th St Kansas City MO 64133-3097 Ph: (816) 651-0997 | 6310 Lamar Ave Ste 100 Merriam KS 66202-4284 Ph: (816) 288-2918 |
| NPI Number | 1487260048 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/29/2024 |
| Certification Date | 09/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487260048 | NPI | - | NPPES |
| A201267130 | Medicaid | KS | |
| 1063873206 | Other | NPI |
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