Most Relevant Information
Provider Data
| NPI Number: | 1003460007 |
| Provider Name: | COWARTIZ MERKERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2017014930 |
Most Important Dates
| Enumeration Date: | 07/29/2019 |
| Last Updated: | 07/29/2019 |
Provider Practice Location
8150 WORNALL RD
KANSAS CITY
MO
641145806
Practice Location Phone/Fax
| Phone: | 8165083500 |
| Fax: | 8165083535 |
Provider Mailing Location
507 FALL MEADOW LN
BELTON
MO
640127855
Provider Mailing Phone/Fax
| Phone: | 6788499487 |
| Fax: |