Organization
LIFEWORKS FAMILY TREATMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LYNN PEACH LCSW (CLINICAL SOCIAL WORKER)
(816) 836-2920
Entity
Organization
Contact information
Practice address
8806 W 49TH TER, MERRIAM, KS 66203-1712
(816) 836-2920
(816) 836-2923
Mailing address
PO BOX 860764, SHAWNEE, KS 66286-0764
(816) 836-2920
(816) 836-2923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005220
MO
Other
Enumeration date
02/19/2007
Last updated
05/06/2015
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