Individual
MARY BETH PANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
905 NE BLUESTEM DR, LEES SUMMIT, MO 64086-3700
(816) 986-2466
Mailing address
905 NE BLUESTEM DR, LEES SUMMIT, MO 64086-3700
(816) 986-2466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017022027
MO
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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