Individual
SYDNEY GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11791 W 112TH ST, SUITE 102, OVERLAND PARK, KS 66210-2737
(913) 636-2454
Mailing address
11791 W 112TH ST, SUITE 102, OVERLAND PARK, KS 66210-2737
(913) 636-2454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
095
KS
1041C0700X
Clinical Social Worker
4621
KS
1041C0700X
Clinical Social Worker
9049
KS
Other
Enumeration date
06/24/2014
Last updated
03/29/2017
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