Individual
KENNEDY RAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-0013
Mailing address
205 E SHAWNEE ST, PAOLA, KS 66071-1958
(913) 206-0023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW13321
KS
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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