Individual
RAENA M CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3334 HASKELL AVE, KANSAS CITY, KS 66104-4225
(913) 627-4804
Mailing address
8341 WOODWARD ST, OVERLAND PARK, KS 66212-2732
(913) 649-4496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5055
KS
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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