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Individual

SUSAN BROOKS HART

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 COLLEGE BLVD, SUITE 304, OVERLAND PARK, KS 66211-1799
(913) 338-0400
(913) 338-0428
Mailing address
4500 COLLEGE BLVD, SUITE 304, OVERLAND PARK, KS 66211-1799
(913) 338-0400
(913) 338-0428

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1719
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22915053
BC&BS OF KC
MO
Enumeration date
06/18/2006
Last updated
07/08/2007
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