Individual
KELLI PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(785) 640-8176
(139) 758-6840
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(785) 640-8176
(913) 758-6840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4858
KS
Other
Enumeration date
06/10/2014
Last updated
03/05/2024
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