Individual
SUSAN A POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 E FRONTIER LN, OLATHE, KS 66062-2344
(913) 782-0442
Mailing address
1921 E FRONTIER LN, OLATHE, KS 66062-2344
(913) 782-0442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC699
KS
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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