Individual
KELLY CORZINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 324-3636
Mailing address
5921 ALBERVAN ST, SHAWNEE, KS 66216-1572
(816) 838-9700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11781
KS
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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