Individual
LINDA DIVINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
8000 LEE BLVD, LEAWOOD, KS 66206-1217
(913) 341-7447
(913) 341-7262
Mailing address
8000 LEE BLVD, LEAWOOD, KS 66206-1217
(913) 341-7447
(913) 341-7262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
001732
MO
1041C0700X
Clinical Social Worker
Primary
LSCSW0838
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100405340A
—
KS
01
—
27878015
BLUE CROSS/BLUE SHIELD
KS
Enumeration date
09/22/2005
Last updated
07/08/2007
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