Individual
MADISON BOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(785) 587-4300
(785) 587-4377
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4344
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11015
KS
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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