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Organization

BRANCHES OF LIFE LLC

Active
Other names
BRANCHES OF LIFE
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON S SHEPARD LSCSW (MEMBER MANAGER)
(620) 229-2442
Entity
Organization

Contact information

Practice address
1 FLEETWOOD DR, WINFIELD, KS 67156-5429
(620) 229-2442
Mailing address
1 FLEETWOOD DR, WINFIELD, KS 67156-5429
(620) 229-2442

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2267
KS

Other

Enumeration date
02/23/2016
Last updated
02/23/2016
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