Individual
MRS. ELIZABETH BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5301 NORWOOD ST, FAIRWAY, KS 66205-2647
(913) 636-3267
Mailing address
9705 W 93RD ST, OVERLAND PARK, KS 66212-4806
(913) 636-3267
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9793
KS
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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