Individual
JENNIFER LYNNETTE MCCONICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
729 W MORSE AVE, BONNER SPRINGS, KS 66012-1623
(913) 963-7167
Mailing address
729 W MORSE AVE, BONNER SPRINGS, KS 66012-1623
(913) 963-7167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12064
KS
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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