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Organization

MARCELLA J KILLE LSCSW PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCELLA J KILLE LSCSW (DIRECTOR)
(620) 921-1029
Entity
Organization

Contact information

Practice address
101 E 1ST AVE, HUTCHINSON, KS 67501-7147
(620) 921-1029
(620) 662-5621
Mailing address
101 E 1ST AVE, HUTCHINSON, KS 67501-7147
(620) 921-1029
(620) 662-5621

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3862
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200451960C
KS
Enumeration date
01/26/2009
Last updated
02/12/2015
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