Individual
BAILLIE ROSE WOYDZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5805 W 110TH STREET, OVERLAND PARK, KS 66211
(913) 696-8000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11108
KS
Other
Enumeration date
12/20/2018
Last updated
06/24/2019
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