Individual
JENNIFER ELAINE WADESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
670 MCGINNIS WAY, FORT RILEY, KS 66442
(852) 407-7445
Mailing address
670 MCGINNIS WAY, FORT RILEY, KS 66442
(785) 226-8617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4213
KS
Other
Enumeration date
06/19/2007
Last updated
11/04/2024
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