| Denise Weller | |
|
405 S Clairborne Rd Ste 1 Olathe KS 66062-1795 | |
| (913) 764-5463 | |
| (913) 764-4160 |
| Full Name | Denise Weller |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 405 S Clairborne Rd, Olathe, Kansas |
| Authorized Official Name and Position | Denise B Weller (OWNER) |
| Authorized Official Contact | 9137645463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Weller 405 S Clairborne Rd Ste 1 Olathe KS 66062-1795 Ph: (913) 764-5463 | Denise Weller 405 S Clairborne Rd Ste 1 Olathe KS 66062-1795 Ph: (913) 764-5463 |
| NPI Number | 1467759282 |
|---|---|
| Provider Enumeration Date | 02/14/2011 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467759282 | NPI | - | NPPES |
| 200546110A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2410 (Kansas) | Primary |
| 1041C0700X | Social Worker - Clinical | 2004006182 (Missouri) | Secondary |
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