Individual
MYISHA JANINE EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5657 SW 35TH ST, TOPEKA, KS 66614-4591
(434) 429-1790
Mailing address
5657 SW 35TH ST, TOPEKA, KS 66614-4591
(434) 429-1790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW12375
KS
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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