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Individual

MRS. ANNA MARIE DIETZ HENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
12240 S MULLEN RD, OLATHE, KS 66062-1493
(913) 385-9448
Mailing address
12240 S MULLEN RD, OLATHE, KS 66062-1493
(913) 385-9448

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KS2317
KS
1041C0700X
Clinical Social Worker
MO2002019553
MO

Other

Enumeration date
11/15/2006
Last updated
03/31/2011
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