Individual
ELANA JEDLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9601 NE BARRY RD, KANSAS CITY, MO 64158-7633
(816) 582-4684
Mailing address
9601 NE BARRY RD, KANSAS CITY, MO 64158-7633
(816) 582-4684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017020600
MO
Other
Enumeration date
03/04/2014
Last updated
08/02/2017
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