Bennie Spurlock, LCSW
Social Worker, Clinical in Lees Summit, MO. Individual provider (NPI-1).
NPI number1699166322
StatusActive
Last updated in NPPESFeb 17, 2015
Details
- NPI
- 1699166322
- Entity type
- Individual (NPI-1)
- Name
- Bennie Spurlock
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2015
- Last updated
- Feb 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2001004516 | MO | Yes |
Practice location
2900 Sw 13th StLees Summit, MO 64081-3800
Phone 816-516-7114 · Fax 816-761-1899
Mailing address
2900 Sw 13th StLees Summit, MO 64081-3800
Fax 816-761-1899
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