Individual
COLENE LYNN MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
131 WALNUT ST, WAMEGO, KS 66547-1309
(505) 459-0890
Mailing address
131 WALNUT ST, WAMEGO, KS 66547-1309
(505) 459-0890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9861
KS
Other
Enumeration date
06/27/2012
Last updated
10/19/2016
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