Individual
MRS. STACY JOSLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19801 W 97TH ST, LENEXA, KS 66220-3351
(913) 322-1626
Mailing address
19801 W 97TH ST, LENEXA, KS 66220-3351
(913) 322-1626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7949
KS
Other
Enumeration date
11/17/2010
Last updated
11/22/2010
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