Individual
TERRESIA ANN DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6400
(316) 284-6490
Mailing address
1901 E 1ST ST; PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1498
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066826
BLUE CROSS BLUE SHIELD
KS
01
—
2089023
CIGNA
KS
01
—
4228
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
06/08/2006
Last updated
11/08/2019
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