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General NPI Number Information
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NPI Number | 1386305597
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Entity Type | Individual
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Provider Name | MARIAH RENEE MAXWELL MORSE LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 3205 N TWYMAN RD
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City | INDEPENDENCE
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State | MO
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Zip | 64058-3211
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Country | US
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Telephone | 816-249-5376
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 S BRADFORD LN
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-7343
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Country | US
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Telephone | 816-807-5148
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9671939
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2024018598
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License Number State | MO
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