Individual
MARY B. SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
12760 W 87TH STREET PKWY, SUITE 108, LENEXA, KS 66215-4635
(913) 441-1200
Mailing address
PO BOX 860700, SHAWNEE, KS 66286-0700
(913) 441-1200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4309
KS
Other
Enumeration date
01/02/2016
Last updated
01/02/2016
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