Individual
ANNALISSA BRODERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16979 W 94TH ST STE D, LENEXA, KS 66219-1939
(913) 353-8191
Mailing address
16979 W 94TH ST STE D, LENEXA, KS 66219-1939
(913) 353-8191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW13635
KS
Other
Enumeration date
04/25/2024
Last updated
06/06/2024
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