Individual
MS. JILL L MALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
6314 W 83RD ST, OVERLAND PARK, KS 66204-3947
(913) 706-7366
Mailing address
6314 W 83RD ST, OVERLAND PARK, KS 66204-3947
(913) 706-7366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5966
KS
1041C0700X
Clinical Social Worker
Primary
2007032456
MO
Other
Enumeration date
02/23/2009
Last updated
02/28/2022
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