Individual
TIMOTHY M DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 962-9955
(913) 826-1589
Mailing address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4022
(913) 962-7843
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4385
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010B
—
KS
Enumeration date
03/31/2007
Last updated
12/02/2009
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