Individual
MRS. LISA MARTINEZ PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW, LISW-CP
Contact information
Practice address
7716 W 65TH ST, OVERLAND PARK, KS 66202-3830
(913) 522-9283
(913) 353-9351
Mailing address
5400 JOHNSON DR, SUITE 288, MISSION, KS 66205-2911
(913) 522-9283
(913) 353-9351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
20-3244643
MO
1041C0700X
Clinical Social Worker
Primary
4138
KS
Other
Enumeration date
04/24/2012
Last updated
02/02/2022
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