Provider Information for 1255112140
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CYRI KRANTZ LSCWS, LCSW, LCAC
Sex: Female
NPI: 1255112140
Last Updated: 2023-10-09
Certification Date: 2023-10-07
Certification Date: 2023-10-07
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1255112140 | ||||||||||||
| Enumeration Date | 2023-10-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 12310 GRANADA LN LEAWOOD, KS 66209-2635 United States Phone: 816-509-1955 | Fax: | ||||||||||||
| Primary Practice Address | 12310 GRANADA LN LEAWOOD, KS 66209-2635 United States Phone: 816-509-1955 | Fax: | ||||||||||||
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