Provider Information for 1316424419
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EMILY SHOSHANA ADLER LMSW
Sex: Female
NPI: 1316424419
Last Updated: 2020-11-12
Certification Date: 2020-11-12
Certification Date: 2020-11-12
Details
Name | Value | ||||||||||||||||||||
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NPI | 1316424419 | ||||||||||||||||||||
Enumeration Date | 2018-07-23 | ||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Mailing Address | 300 W 19TH TER KANSAS CITY, MO 64108-2026 United States Phone: 816-404-5709 | Fax:816-404-5739 | ||||||||||||||||||||
Primary Practice Address | 300 W 19TH TER KANSAS CITY, MO 64108-2026 United States Phone: 816-404-5709 | Fax:816-404-5739 | ||||||||||||||||||||
Secondary Practice Address(es) | 1301 N 47TH ST | ||||||||||||||||||||
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