Individual
MS. CECILIA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 468-2266
(913) 788-4203
Mailing address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 468-2266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
3980
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WAIVER
KS
Enumeration date
06/18/2007
Last updated
08/20/2019
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