Individual
BRITTANY DIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 SW POLK ST APT 8, TOPEKA, KS 66603-3258
(785) 758-3642
Mailing address
705 SW POLK ST APT 8, TOPEKA, KS 66603-3258
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
782283092
CHILDCARE
—
Enumeration date
09/01/2021
Last updated
09/01/2021
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