Individual
WILLIAM TYLER STUBENHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1111 E SPRUCE ST, GARDEN CITY, KS 67846-5958
(620) 276-7689
(620) 276-6117
Mailing address
PO BOX 477, GARDEN CITY, KS 67846-0477
(620) 275-0644
(620) 272-0239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8811
KS
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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