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Individual

ALAN D BANWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
14221 METCALF AVE STE 119, OVERLAND PARK, KS 66223-3301
(913) 353-6053
(888) 389-5175
Mailing address
7839 W 197TH ST, STILWELL, KS 66085-9508
(816) 589-1058
(888) 389-5175

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2011025106
MO
1041C0700X
Clinical Social Worker
Primary
4318
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200653410D
KS
Enumeration date
08/21/2012
Last updated
03/02/2023
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