Individual
DR. LISETTE WILCOX SWAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD- LP
Contact information
Practice address
3903 RAINBOW BLVD, KUMC-CCHD MS 4003, KANSAS CITY, KS 66103-2917
(913) 588-5922
Mailing address
3903 RAINBOW BLVD, KUMC-CCHD MS 4003, KANSAS CITY, KS 66103-2917
(913) 588-5922
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2396
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841281805
CENTER NPI
KS
Enumeration date
08/04/2011
Last updated
02/11/2016
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