Individual
KAREN SCHIESS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
600 SW JEFFERSON ST #206, LEES SUMMIT, MO 64063
(816) 554-7705
(816) 554-7706
Mailing address
1212 NE OAKWOOD DR, LEES SUMMIT, MO 64086
(816) 525-6619
(816) 554-0055
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY01740
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21468020
BC BS
—
Enumeration date
02/26/2007
Last updated
07/08/2007
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