Individual
SHELLEY LOUANN BARTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.C.S.W.
Contact information
Practice address
11100 ASH ST, SUITE100, LEAWOOD, KS 66211-1925
(913) 696-1400
(913) 696-1403
Mailing address
11100 ASH ST., SUITE100, LEAWOOD, KS 66211
(913) 696-1400
(913) 696-1403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 995
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-2630036
IRS TAXPAYER ID NUMBER
KS
Enumeration date
04/10/2007
Last updated
06/02/2010
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