Individual
MRS. ANDREA FELICE STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 S KENWOOD ST, OLATHE, KS 66062-2908
(913) 390-6249
Mailing address
2102 S KENWOOD ST, OLATHE, KS 66062-2908
(913) 390-6249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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