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Kristin Anne Coblentz Swan, LCSW

Social Worker, Clinical in Raytown, MO. Individual provider (NPI-1).

NPI number1407987662
StatusActive
Last updated in NPPESDec 6, 2022

Details

NPI
1407987662
Entity type
Individual (NPI-1)
Name
Ms. Kristin Anne Coblentz Swan
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2007
Certification date
Dec 6, 2022
Last updated
Dec 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical2004032834MOYes
104100000X Social Worker4902KS

Practice location

7001 Blue Ridge Blvd
Raytown, MO 64133-5629

Phone 816-966-0900 · Fax 816-347-3029

Mailing address

128 Se Somerset Ct
Lees Summit, MO 64063-3626

Phone 816-804-8847 · Fax 816-581-3738

Other practice locations

529 Se 2nd St Ste D
Lees Summit, MO 64063-2654

Phone 816-581-3737 · Fax 816-581-3738

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Other Clinical Social Worker providers in Raytown, MO

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