Individual
KYLA COLLECE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
9393 W 110TH ST STE 505, OVERLAND PARK, KS 66210-1442
(715) 220-3962
Mailing address
9924 BRIAR DR, OVERLAND PARK, KS 66207-3435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10630
KS
1041C0700X
Clinical Social Worker
2019026997
MO
1041C0700X
Clinical Social Worker
Primary
5035
KS
Other
Enumeration date
07/02/2015
Last updated
05/02/2024
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