Organization
KATHLEEN WADDELL LSCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN W WADDELL LSCSW (INDEPENDENT PRACTITIONER)
78526644000
Entity
Organization
Contact information
Practice address
3600 SW BURLINGAME RD, SUITE 1A, TOPEKA, KS 66611-2053
(778) 526-6400
(785) 266-4000
Mailing address
3600 SW BURLINGAME RD, STE. 1A, TOPEKA, KS 66611-2053
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LSCSW 1081
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003400A
—
KS
Enumeration date
03/07/2012
Last updated
03/07/2012
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