| NPI | 1912247214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ANNE COBLENTZ SWAN Owner 816-581-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004032834) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2022-12-06 |