Individual
PHELICA ANN GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7317 SW 33RD ST, TOPEKA, KS 66614-4610
(785) 845-1213
Mailing address
7317 SW 33RD ST, TOPEKA, KS 66614-4610
(785) 845-1213
(785) 289-9975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5527
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200575630A
—
KS
Enumeration date
10/28/2008
Last updated
03/14/2021
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