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Individual

MS. LAURA N BREITBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW LCSW

Contact information

Practice address
5801 W 115TH STREET, SUITE 103, OVERLAND PARK, KS 64114
(913) 827-8250
(913) 827-8222
Mailing address
5801 W 115TH STREET, SUITE 103, OVERLAND PARK, KS 66211
(913) 827-8250
(913) 827-8222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2001004051
MO
1041C0700X
Clinical Social Worker
Primary
2138
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27983018
BC BS
MO
Enumeration date
07/16/2006
Last updated
07/08/2007
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