Individual
ESMERALDA LUDIVINA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 E OSAGE RD APT R4, DERBY, KS 67037-8862
(620) 213-3008
Mailing address
1804 E OSAGE RD APT R4, DERBY, KS 67037-8862
(620) 213-3008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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