Individual
JESSICA ISABEL CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 AVENUE L, DODGE CITY, KS 67801-5319
(620) 227-8566
Mailing address
PO BOX 1905, GARDEN CITY, KS 67846-1905
(620) 275-0644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13686
KS
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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