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1801004510
MARY JUANITA THIBODEAUX
LIBERTY, MO
NPI
1801004510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MO 2002024986)
Enumeration Date
2007-05-18
Last Update Date
2010-03-30
Business Address
MS. MARY JUANITA THIBODEAUX LCSW
7 WESTOWNE
LIBERTY, MO 66068
Phone number: 816-407-1754
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Mailing Address
MS. MARY JUANITA THIBODEAUX LCSW
1012 E 76TH ST
KANSAS CITY, MO 64131-2008
Phone number: 816-444-6533
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