Individual
TARA TOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16509 W 80TH ST, LENEXA, KS 66219-2805
(913) 827-6555
Mailing address
16509 W 80TH ST, LENEXA, KS 66219-2805
(913) 827-6555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW12171
KS
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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