Individual
MRS. MARTHA JANE M WIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
107 1/2 S MAIN ST, HILLSBORO, KS 67063-1525
(620) 382-5302
Mailing address
1657 KANZA, HILLSBORO, KS 67063-8100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2217
KS
1041C0700X
Clinical Social Worker
Primary
06033
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1971814
—
KS
Enumeration date
08/16/2017
Last updated
11/07/2024
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