Individual
JEFFREY DALE WINTERMOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 E ELM ST, SALINA, KS 67401-2353
(501) 396-9641
Mailing address
509 E ELM ST, SALINA, KS 67401-2353
(501) 396-9641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11790
KS
Other
Enumeration date
10/06/2020
Last updated
10/22/2020
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