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1902251960
ANGELA WITHERSPOON
KANSAS CITY, MO
NPI
1902251960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO 8883)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- ANGELA WITHERSPOON
723 E 18TH ST
KANSAS CITY, MO 64108-1511
Phone number: 816-283-3877
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Mailing Address
-- ANGELA WITHERSPOON
723 E 18TH ST
KANSAS CITY, MO 64108-1511
Phone number:
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