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PATRICIA DUDLEY-GANGWERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
Mailing address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
829981
BCBS
KS
Enumeration date
09/27/2006
Last updated
07/08/2007
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