Individual
SANDRA ERICA ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 764-2887
(913) 768-1437
Mailing address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 764-2887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12227
KS
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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