Individual
TERRY L JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSWQ
Contact information
Practice address
407 LAURUS ST, RAYMORE, MO 64083-8585
(816) 318-4430
(816) 318-8865
Mailing address
516 W SANTA FE ST, OLATHE, KS 66061-3270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005574
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498612001
—
MO
Enumeration date
12/20/2005
Last updated
02/14/2011
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