Individual
JEREMY W DIDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7501 COLLEGE BLVD STE 250, OVERLAND PARK, KS 66210-2505
(913) 451-8550
Mailing address
11700 W 143RD ST, OVERLAND PARK, KS 66221-9571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12387
KS
1041C0700X
Clinical Social Worker
Primary
12387
KS
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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