Individual
TERESA PRIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N MONROE ST, OLATHE, KS 66061-3162
(913) 782-0283
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7250
KS
104100000X
Social Worker
Primary
LMSW7588
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174513444
—
KS
Enumeration date
10/16/2008
Last updated
12/31/2009
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