BROOKE NICOLE LARSON

KANSAS CITY, MO
NPI1508361379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MO  2017041044)
Enumeration Date2018-03-26
Last Update Date2018-03-26
Business Address
BROOKE NICOLE LARSON LCSW
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
Mailing Address
BROOKE NICOLE LARSON LCSW
2401 GILLHAM RD PROVIDER ENROLLMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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