Individual
JODI VAN WALLEGHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12760 W 87TH STREET PKWY STE 108, LENEXA, KS 66215-2878
(913) 735-5210
Mailing address
12620 W 77TH TER, LENEXA, KS 66216-3169
(913) 766-2162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12086
KS
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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