Individual
LESLIE GOERTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
531 CAMPUS VIEW ST, GARDEN CITY, KS 67846-7904
(620) 275-0644
(620) 272-0239
Mailing address
2101 US HIGHWAY 50 BYP, DODGE CITY, KS 67801-2230
(620) 227-8566
(620) 225-5824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 8491
KS
1041C0700X
Clinical Social Worker
Primary
8491
KS
Other
Enumeration date
07/05/2012
Last updated
03/22/2016
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