Individual
JACEY FISCHBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 N BAUGHMAN ST, ULYSSES, KS 67880-2058
(620) 356-3198
Mailing address
1633 E 120TH ST, OLATHE, KS 66061-9500
(913) 284-6978
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11503
KS
Other
Enumeration date
09/14/2021
Last updated
03/29/2024
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