Individual
REBECA J SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
127 E AVENUE B STE B, HUTCHINSON, KS 67501-7422
(620) 259-7993
(620) 259-7994
Mailing address
127 E AVENUE B STE B, HUTCHINSON, KS 67501-7422
(620) 259-7993
(620) 259-7994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3874
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098120A
—
KS
01
—
393291
BCBS
KS
Enumeration date
09/20/2006
Last updated
07/12/2012
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