Individual
MARISA DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 COLLEGE BLVD STE 105, LEAWOOD, KS 66211-1618
(913) 709-1810
Mailing address
5001 COLLEGE BLVD STE 105, LEAWOOD, KS 66211-1618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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