Individual
BOSE FUNKE ADEAGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER LMSW
Contact information
Practice address
1215 S CITY VIEW ST, WICHITA, KS 67235-3443
(732) 589-8939
Mailing address
1215 S CITY VIEW ST, WICHITA, KS 67235-3443
(732) 589-8939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8664
KS
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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