Individual
AMBER LYNN WOGOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LMAC
Contact information
Practice address
209 W 6TH ST, CONCORDIA, KS 66901-2816
(785) 560-3101
(785) 527-8317
Mailing address
1329 18TH ST, BELLEVILLE, KS 66935-2209
(785) 527-8271
(785) 527-8317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00894
KS
1041C0700X
Clinical Social Worker
Primary
11772
KS
Other
Enumeration date
09/30/2020
Last updated
01/29/2025
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