Individual
KATELYN DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410A SE 3RD ST STE 100, LEES SUMMIT, MO 64063-2836
(816) 581-3737
(816) 581-3738
Mailing address
PO BOX 1206, LEES SUMMIT, MO 64063-8206
(816) 581-3737
(816) 581-3738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2014012679
MO
104100000X
Social Worker
8975
KS
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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