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Individual

MS. JENNIFER D. LILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
136 E WALNUT ST STE 107, INDEPENDENCE, MO 64050-3990
(816) 214-0155
(816) 817-1019
Mailing address
136 E WALNUT ST, SUITE 103, INDEPENDENCE, MO 64050-3990
(816) 214-0155

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008001719
MO

Other

Enumeration date
04/10/2009
Last updated
06/20/2020
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