Individual
JANE LOUISE FAVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
1900 W 75TH ST STE 200, PRAIRIE VILLAGE, KS 66208-3501
(816) 810-4572
Mailing address
11201 N WALLACE AVE, KANSAS CITY, MO 64157-1007
(816) 810-4572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05337
KS
1041C0700X
Clinical Social Worker
2020021669
MO
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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