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1598121261
CHANGE OF LIFE LLC
KANSAS CITY, MO
NPI
1598121261
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Entity Type
Organization
Authorized Contact
JENNIFER D NEWCOMER
Sole Proprietor
816-529-5990
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
CHANGE OF LIFE LLC
7280 NW 87TH TER STE 210
KANSAS CITY, MO 64153-3720
Phone number: 816-529-5990
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Mailing Address
CHANGE OF LIFE LLC
4602 NE 83RD TER
KANSAS CITY, MO 64119-7617
Phone number:
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