Individual
MISTIE MCREYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1435 E PENROSE LN, OLATHE, KS 66062-1709
(913) 777-9093
Mailing address
1435 E PENROSE LN, OLATHE, KS 66062-1709
(913) 777-9093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5194
KS
Other
Enumeration date
07/07/2020
Last updated
01/21/2021
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