Individual
TAYLEENE MARIE VAN NORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 BROADWAY ST, LARNED, KS 67550-3049
(620) 285-6041
(620) 285-6194
Mailing address
612 BROADWAY ST, LARNED, KS 67550-3049
(620) 285-6041
(620) 285-6194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4566
KS
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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