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Individual

ELAINE MARIE GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 1623
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174513444
KS
Enumeration date
02/05/2008
Last updated
02/05/2008
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