Individual
KELLY C DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
16979 W 94TH ST, LENEXA, KS 66219
(913) 302-8181
Mailing address
16979 W 94TH ST, LENEXA, KS 66219
(816) 508-3500
(816) 508-3535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10072
KS
1041C0700X
Clinical Social Worker
05446
KS
Other
Enumeration date
06/29/2016
Last updated
07/16/2021
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