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Individual

MS. CATHERINA ANNETTE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
6201 COLLEGE BLVD STE 410, OVERLAND PARK, KS 66211-2430
(913) 652-6668
Mailing address
6201 COLLEGE BLVD STE 410, OVERLAND PARK, KS 66211-2430
(913) 912-9769

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
5582
KS
1041C0700X
Clinical Social Worker
Primary
4113
KS

Other

Enumeration date
08/30/2011
Last updated
08/31/2022
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