Organization
LORI KANKE, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN KANKE LCSW (OWNER)
(816) 351-9026
Entity
Organization
Contact information
Practice address
2404 HIGHLY ST, SAINT JOSEPH, MO 64506
(816) 351-9026
(816) 387-9307
Mailing address
2404 HIGHLY ST, SAINT JOSEPH, MO 64506-2729
(816) 351-9026
(816) 387-9307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015004773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235412537
—
MO
Enumeration date
11/09/2016
Last updated
06/07/2018
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