Individual
JAY L. MEMMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8400 W 110TH ST STE 250, OVERLAND PARK, KS 66210-2461
(913) 327-7505
Mailing address
8400 W 110TH ST STE 250, OVERLAND PARK, KS 66210-2461
(913) 327-7505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0545
KS
1041C0700X
Clinical Social Worker
Primary
LSCSW 0545
KS
Other
Enumeration date
06/21/2007
Last updated
04/09/2025
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