Sue Laura Severance, MSW
Social Worker, Clinical in Kansas City, MO. Individual provider (NPI-1).
NPI number1306997010
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1306997010
- Entity type
- Individual (NPI-1)
- Name
- Sue Laura Severance
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2007
- Certification date
- Oct 1, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 004593 | MO | Yes |
| 1041C0700X | Social Worker, Clinical | 2420 | KS |
Practice location
5904 E Bannister RdKansas City, MO 64134-1141
Phone 816-966-0900 · Fax 816-347-3209
Mailing address
1555 Ne Rice RdLees Summit, MO 64086-5849
Phone 816-966-0900
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