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Individual

MS. LISA MICHELLE PICKNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
3533 N 63RD ST, KANSAS CITY, KS 66104-1002
(913) 375-3155

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9797
KS

Other

Enumeration date
10/06/2017
Last updated
10/08/2017
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