Organization
CREEKSIDE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA S. MADDEN LSCSW (SOLE MBR)
(620) 200-0234
Entity
Organization
Contact information
Practice address
1531 WILLOW RD, HUTCHINSON, KS 67502-2613
(620) 200-0234
Mailing address
1531 WILLOW RD, HUTCHINSON, KS 67502-2613
(620) 200-0234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3929
KS
Other
Enumeration date
04/21/2017
Last updated
05/10/2017
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