Individual
ELIGIA JACKIE RAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2809 N BROADWAY ST STE E, PITTSBURG, KS 66762-2684
(620) 644-3013
Mailing address
2809 N BROADWAY ST STE E, PITTSBURG, KS 66762-2684
(620) 644-3013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12533
KS
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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