Individual
KENDRA DEANNE DAVIS-LEIGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1535 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 965-1612
Mailing address
1535 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 965-1612
(816) 347-3209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019021589
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019021589
LCSW
MO
Enumeration date
03/08/2017
Last updated
07/31/2019
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