Individual
REGAN SUE ANN BOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
618 COMMERCIAL ST, EMPORIA, KS 66801-3969
(620) 794-6328
Mailing address
1219 RED WHEAT DR, EMPORIA, KS 66801-7994
(620) 228-3513
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11738
KS
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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