Individual
DAWN WAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
10100 W 87TH ST, STE 207 E, OVERLAND PARK, KS 66212-4628
(913) 449-0395
Mailing address
10100 W 87TH ST, STE 207 E, OVERLAND PARK, KS 66212-4628
(913) 449-0395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2296
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010
—
KS
01
—
26851038
BCBS OF KC
—
Enumeration date
07/26/2006
Last updated
06/05/2015
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