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1124542527
CLARISSA BOBERG
KANSAS CITY, MO
NPI
1124542527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2022004932)
Enumeration Date
2017-07-28
Last Update Date
2024-09-24
Business Address
CLARISSA BOBERG LCSW, LSCSW
2401 GILLHAM ROAD ATTN: PROVIDER ENROLLMENT DEPARTMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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Mailing Address
CLARISSA BOBERG LCSW, LSCSW
1555 NE RICE RD
LEES SUMMIT, MO 64086-5849
Phone number: 816-347-3069
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