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1396220455
CLARISHA L BLAYLOCK
KANSAS CITY, MO
NPI
1396220455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MO 2018033189)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
CLARISHA L BLAYLOCK PLPC
2 E 59TH ST
KANSAS CITY, MO 64113-2116
Phone number: 816-363-1898
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Mailing Address
CLARISHA L BLAYLOCK PLPC
405 WOODBRIDGE LN
KANSAS CITY, MO 64145-1332
Phone number: 816-507-0683
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