Individual
MARY ELLEN RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
10100 W 87TH ST, OVERLAND PARK, KS 66212-4628
(913) 904-6818
Mailing address
10100 W 87TH ST, OVERLAND PARK, KS 66212-4628
(913) 904-6818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3572
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174513444
—
KS
Enumeration date
12/10/2008
Last updated
08/22/2016
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