Individual
CASSANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12900 W 110TH ST, OVERLAND PARK, KS 66210-1253
(913) 710-1601
Mailing address
12900 W 110TH ST, OVERLAND PARK, KS 66210-1253
(913) 710-1601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9853
KS
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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