Individual
KELLY LEMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3500 VILLAGE DR, GARDEN LEVEL 30, SAINT JOSEPH, MO 64506-4979
(816) 545-9203
(816) 279-3311
Mailing address
3500 VILLAGE DR, GARDEN LEVEL 30, SAINT JOSEPH, MO 64506-4979
(816) 545-9203
(816) 279-3311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016036979
MO
104100000X
Social Worker
9470
KS
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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