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                  |'|  mx     'J        made me do it! ;)
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              '----"----'

  RAN BY SVEN AND SIX

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WHAT WOULD UNITED 93 DO


____________________________________________________________

First Name : Darius 
Middle Name : Jackson
Last Name : Mall


Address : 6314 w 83rd st Overland Park, KS

School: Shawnee Mission South


____________________________________________________________
 
Moms Full Name: Jill L Mall

Moms Phone : 913-706-7366

Moms Emails : jillm@srv.net
Moms Emails : jillmall@yahoo.com

Moms Age : 49

SSN Ending in 6488

____________________________________________________________

RANDOM DOCTER INFO ON MOM

Work : Clinical Social Worker specialist in Kansas City MO

Work Address : 3100 Broadway Blvd Ste 410 Kansas City, MO 64111-2655

Work Phone :  (816) 587-4900

Work Fax :  (816) 256-2780



Full Name	Jill L Mall
Gender	Female
PECOS ID	8729112362
Experience	16+ years of diverse experiences
Sole Proprietor	Yes - She owns an unincorporated business by herself.
Accepts Medicare Assignment	She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Medical Specialities
CLINICAL SOCIAL WORKER
Credentials
Licensed Clinical Social Worker (LCSW)
LSCSW
Education & Training
Jill L Mall attended to a university and then graduated in 2005
NPPES Information
NPI #: 1841430444
Enumeration Date: Feb 23rd, 2009
Last Update Date: Jan 10th, 2018



Specialization	License Number	Issued State
Behavioral Health & Social Service Providers / Social Worker	5966	Kansas
Social Worker / Clinical	2007032456	Missouri







Organization	Number of Members
Deer Oaks Mental Health Associates Pc	65



Practice Location
3100 Broadway Blvd
Ste 410
Kansas City, Missouri 64111-2655

Phone: (816) 587-4900
Fax: (816) 256-2780

Office Hours:
Monday - Friday: 8:00 AM - 5:00 PM
Saturday - Sunday: Closed


_____________________________________________________________________________________________

Shouldnt have started shit :0

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