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Shane Matthew Witzki
Professional Counselor in Liberty, Missouri
NPI 1053039461

Shane Matthew Witzki is a Professional Counselor based in Liberty, MO and is specialized in Professional. Shane Matthew Witzki practices in Liberty, MO. The NPI Number for Shane Matthew Witzki is 1053039461 and holds a License No. 2020024396 (Missouri).

The current practice location address for Shane Matthew Witzki is 110 Westwoods Dr, Liberty, MO and can be reached out via phone at 816-368-1889.

Location: 110 Westwoods Dr, Liberty, MO, 64068-2892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053039461
Provider Name
Shane Matthew Witzki
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 Westwoods Dr, Liberty, MO, 64068-2892
Phone Number
816-368-1889
Fax Number
Provider Enumeration Date
08/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Westwoods Dr
City
Liberty
State
Missouri
Zip
64068-1181
Phone Number
816-368-1889
Fax Number
person
Provider Business Mailing Address Details
Address
110 Westwoods Dr
City
Liberty
State
Missouri
Zip
64068-1181
Phone Number
816-368-1889
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2020024396 (Missouri)
Definition
Definition to come...
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