Individual
MS. LISA JANE ST. AUBYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
13626 W 95TH ST, LENEXA, KS 66215-3304
(913) 317-8821
(913) 541-8030
Mailing address
13626 W 95TH ST, LENEXA, KS 66215-3304
(913) 317-8821
(913) 541-8030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1243
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31826014
BLUE CROSS & BLUE SHIELD
KS
01
—
468229
BC & BS OF KS
KS
Enumeration date
11/15/2006
Last updated
02/15/2008
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