Individual
LAURA J STALLBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
420 E 4TH ST, TONGANOXIE, KS 66086-9218
(913) 667-9553
Mailing address
12525 W 134TH PL APT 5118, OVERLAND PARK, KS 66213-5099
(913) 633-8932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10700
KS
1041C0700X
Clinical Social Worker
Primary
05453
KS
Other
Enumeration date
11/13/2017
Last updated
04/10/2026
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