Individual
TANYA S MARTIN NISLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1715 E 23RD AVE, HUTCHINSON, KS 67502-1105
(620) 665-2240
(620) 665-2276
Mailing address
9001 W ILLINOIS AVE, HUTCHINSON, KS 67501-9182
(620) 567-2306
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4757
KS
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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