Manriquez, Sarah Rose

Manriquez, Sarah Rose is an individual health care provider with primary practice located at 9 Victory Dr Ste 1A , Liberty MO 64068-3807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Manriquez, Sarah Rose can be contacted via phone (816) 368-1126.

Contact Information

Primary practice address
9 Victory Dr Ste 1A Liberty MO 64068-3807
Phone: (816) 368-1126
Fax: (816) 479-2903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4261 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2010039512 Missouri

Profile Details

NPI number 1407080526
LBN Legal business name Manriquez, Sarah Rose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated Jun 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407080526 NPPES
Kansas MEDICAID 200605680A
Kansas MEDICAID 490088140

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