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NPI Code Detail

MEDICARE: MS. YOLONDA YVETTE CARSON MSW, LCSW

MEDICARE: MS. YOLONDA YVETTE CARSON MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2010040036MO

General Provider Information

NPI Number : 1275835159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YOLONDA YVETTE CARSON MSW, LCSW
Provider Business Mailing Address
First Line : 109 W 182ND ST
Second Line :
City : BELTON
State : MO
Zip : 64012-3283
Country : US
Telephone Number : 816-582-7738
Fax Number :
Provider Business Practice Location Address
First Line : 1911 E 23RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-3701
Country : US
Telephone Number : 816-241-3448
Fax Number : 816-241-2797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2010
Last Update Date : 01/03/2011

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