Organization
IRENE BOCKELMAN, LSCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE BOCKELMAN (CLINICAL SOCIAL WORKER)
(913) 634-4196
Entity
Organization
Contact information
Practice address
10965 GRANADA LN, SUITE 103, OVERLAND PARK, KS 66211-1469
(913) 634-4196
(913) 780-6955
Mailing address
16102 W 124TH TER, OLATHE, KS 66062-4310
(913) 634-4196
(913) 780-6955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 863
KS
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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