Individual
CHANEL FORTIER KITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, MSM
Contact information
Practice address
8901 W 106TH TER, OVERLAND PARK, KS 66212-5575
(913) 998-1171
Mailing address
8901 W 106TH TER, OVERLAND PARK, KS 66212-5575
(913) 998-1171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12156
KS
Other
Enumeration date
06/18/2021
Last updated
05/06/2025
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