Individual
VICKI CANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3234
(913) 826-4200
Mailing address
15820 W 61ST ST, SHAWNEE, KS 66217-9685
(913) 636-5300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05842
KS
Other
Enumeration date
10/04/2023
Last updated
05/31/2024
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