Individual
SHAUNDRIEKA QUATICE TOWNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6515 N WENDELL ST, PARK CITY, KS 67219-1742
(316) 587-7101
Mailing address
6515 N WENDELL ST, PARK CITY, KS 67219-1742
(316) 587-7101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9017
KS
Other
Enumeration date
02/26/2015
Last updated
02/03/2017
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