Individual
MS. MARCILE J CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, MSW
Contact information
Practice address
201 DOGWOOD ST, WAKEFIELD, KS 67487-9626
(785) 461-5955
Mailing address
201 DOGWOOD ST, WAKEFIELD, KS 67487-9626
(785) 461-5955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1631
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000069716
TRICARE
KS
05
—
10044747A
—
KS
01
—
69716
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/03/2005
Last updated
07/27/2007
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