Individual
HOLLY STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21350 W.153RD ST., OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Mailing address
21350 W.153RD ST., OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7121
KS
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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