Provider Information for 1760610471
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Mrs. MICHELLE LEIGH PENDZIMAS LPC
Sex: Female
NPI: 1760610471
Last Updated: 2009-07-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1760610471 | ||||||||
| Enumeration Date | 2009-07-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3210 GILLHAM RD KANSAS CITY, MO 64109-1714 United States Phone: 816-803-0951 | Fax:816-531-7738 | ||||||||
| Primary Practice Address | 3210 GILLHAM RD KANSAS CITY, MO 64109-1714 United States Phone: 816-803-0951 | Fax: | ||||||||
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