Individual
JILL A REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4630
(785) 270-4601
Mailing address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4630
(785) 270-4601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 3831
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110661018
MEDICARE PTAN
KS
05
—
200439380C
—
KS
Enumeration date
07/07/2006
Last updated
12/03/2014
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