Individual
JACEY LEE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 288-4261
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 288-4261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10880
KS
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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