Individual
KATIE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 246-8000
Mailing address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 246-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2013031634
MO
104100000X
Social Worker
8796
KS
1041C0700X
Clinical Social Worker
Primary
2021034810
MO
Other
Enumeration date
07/20/2020
Last updated
09/07/2021
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