Individual
JACLYN MARIE KIRWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(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
1041C0700X
Clinical Social Worker
Primary
3721
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010B
—
KS
Enumeration date
03/12/2007
Last updated
09/28/2009
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