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Individual

SUZANNE MARIE DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1125 W SPRUCE ST, OLATHE, KS 66061-3123
(913) 782-2100
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
4992
KS
1041C0700X
Clinical Social Worker
Primary
LSCSW 3840
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200442700A
KS
Enumeration date
09/20/2006
Last updated
10/13/2011
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