Individual
LORI ANN KANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2400 FREDERICK BLVD. SUITE 401A, SAINT JOSEPH, MO 64506
(816) 351-9026
(816) 387-9307
Mailing address
2400 FREDERICK BLVD. SUITE 401A, SAINT JOSEPH, MO 64506
(816) 351-9026
(816) 387-9307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015004773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235412537
—
MO
Enumeration date
09/22/2011
Last updated
11/09/2016
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