Organization
MICHELE CRAFT THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE D BURKETT LSCSW, LCSW (THERAPIST)
(816) 260-6607
Entity
Organization
Contact information
Practice address
10100 W 87TH ST STE 207, OVERLAND PARK, KS 66212-4628
(816) 260-6607
Mailing address
10100 W 87TH ST STE 207, OVERLAND PARK, KS 66212-4628
(816) 260-6607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1791
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428130A
—
KS
05
—
200428130D
—
KS
Enumeration date
02/12/2010
Last updated
10/15/2013
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