Individual
ALPHA WARREN BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
(785) 742-3085
Mailing address
1400 SW CLONTARF ST, TOPEKA, KS 66611-2420
(785) 267-4740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097950A
—
KS
05
—
200434510A
—
KS
Enumeration date
03/15/2007
Last updated
01/25/2012
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