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Individual

ALYSSA N ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6400 W 110TH ST STE 202, OVERLAND PARK, KS 66211-1585
(816) 607-1775
(816) 379-3748
Mailing address
6400 W 110TH ST STE 202, OVERLAND PARK, KS 66211-1585

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
12767-T
KS
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12767-T
STATE LICENSE
KS
Enumeration date
09/01/2022
Last updated
09/01/2022
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