ANGELICA GRACE FORTENBERRY

INDEPENDENCE, MO
NPI1629734322
Former NameANGELICA GRACE FILLINGANE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2024000988)
Enumeration Date2021-11-17
Last Update Date2024-01-19
Business Address
ANGELICA GRACE FORTENBERRY MSW, LCSW
17844 E 23RD ST S
INDEPENDENCE, MO 64057-1840
Phone number: 816-254-3652
Mailing Address
ANGELICA GRACE FORTENBERRY MSW, LCSW
PO BOX 260
INDEPENDENCE, MO 64051-0260
Phone number: 816-254-3652
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