Provider Information for 1629703269
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HEATHER PERCELL LCSW
Sex: Female
NPI: 1629703269
Last Updated: 2022-07-18
Certification Date: 2022-07-18
Certification Date: 2022-07-18
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629703269 | ||||||||||||
| Enumeration Date | 2022-07-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10101 N LISTER AVE KANSAS CITY, MO 64156-6333 United States Phone: 816-853-5063 | Fax: | ||||||||||||
| Primary Practice Address | 10101 N LISTER AVE KANSAS CITY, MO 64156-6333 United States Phone: 816-853-5063 | Fax: | ||||||||||||
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