Individual
ALDEBARON DOMINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19299 W 209TH ST, SPRING HILL, KS 66083-7570
(913) 890-3252
Mailing address
19299 W 209TH ST, SPRING HILL, KS 66083-7570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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