Individual
STACEY HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21344 WEST 153RD ST, OLATHE, KS 66061-5413
(913) 499-8100
(913) 499-8111
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4900
(913) 780-1284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9656
KS
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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