Individual
MRS. CAROLYN A PAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 328-4618
Mailing address
10301 W 56TH ST, SHAWNEE, KS 66203-2359
(913) 236-8788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 1821
KS
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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