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Individual

JASON WALDMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 962-9955
(913) 826-1589
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6170
KS
1041C0700X
Clinical Social Worker
Primary
4050
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200443040A
KS
Enumeration date
04/12/2007
Last updated
04/15/2011
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