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Individual

DIONCA WOUNDED HEAD-HIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 288-4223
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 288-4223

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9352
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098080A
KS
01
100098080C
SED WAIVER
KS
Enumeration date
10/17/2014
Last updated
10/17/2014
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