Individual
MS. EMILY ANN DEFOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8340 MISSION RD STE 230, PRAIRIE VILLAGE, KS 66206-1319
(913) 735-0577
Mailing address
612 SE MILLER ST, LEES SUMMIT, MO 64063-4241
(816) 665-8586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022045585
MO
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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