Individual
MRS. DEBRA JEANETTE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
8400 W 110TH, SUITE 510, OVERLAND PARK, KS 66210
(913) 491-3460
(913) 491-1141
Mailing address
8400 W 110TH, SUITE 510, OVERLAND PARK, KS 66210
(913) 491-3460
(913) 491-1141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
998LSCSW
KS
104100000X
Social Worker
LSCSW2005038977
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289830A
—
KS
Enumeration date
02/13/2007
Last updated
08/23/2013
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