Individual
SHELLY LUKASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
618 SE 4TH ST, SUITE 8, LEES SUMMIT, MO 64063-2908
(816) 522-3475
Mailing address
1128 WILLOW LN, LIBERTY, MO 64068-4355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2010016748
MO
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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