Individual
LISA ANN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
108 S THOMPSON AVE, EXCELSIOR SPRINGS, MO 64024-2124
(816) 721-4652
(816) 930-2162
Mailing address
P.O BOX 133, PLATTSBURG, MO 64477-1583
(816) 721-4652
(816) 930-2162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004023885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496155102
—
MO
01
—
P00677208
MEDICARE RAILROAD
MO
Enumeration date
06/14/2007
Last updated
07/06/2009
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