The Outlet Place for Women

NPI #1548541782 in Independence, Missouri

Provider Information

NPI Number: 1548541782
Entity Type: Organization
Organization Name: The Outlet Place for Women
Primary Specialty: Specialist
Enumeration Date: Sep 1, 2011
Last Updated: Sep 1, 2011

Practice Location

Address: 1308 W TRUMAN RD
City: Independence
State: Missouri
ZIP Code: 64050-3433
Phone: (816) 984-4841

Authorized Official

Name: MS. DETRONNE COULSON
Title: PRESIDENT
Phone: (816) 984-4841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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