Individual
ILENE BETH GRUNSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, CEAP
Contact information
Practice address
11111 NALL AVE, SUITE 103, LEAWOOD, KS 66211-1924
(913) 832-0366
(913) 342-0066
Mailing address
12618 SLATER ST, OVERLAND PARK, KS 66213-4721
(913) 832-0366
(913) 342-0069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1880
KS
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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