Individual
MR. TIMOTHY J LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
10551 BARKLEY ST STE 512, OVERLAND PARK, KS 66212-1813
(913) 205-7049
(913) 317-8193
Mailing address
PO BOX 9233, SHAWNEE MISSION, KS 66201-1833
(913) 205-7049
(913) 341-8125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW 0004247
MO
1041C0700X
Clinical Social Worker
Primary
LSCSW 1532
KS
Other
Enumeration date
03/27/2007
Last updated
09/18/2014
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