Individual
MRS. LEATRICE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
23210 CHIEFTAIN RD, TONGANOXIE, KS 66086-3313
(913) 369-3092
Mailing address
23210 CHIEFTAIN RD, TONGANOXIE, KS 66086-3313
(913) 369-3092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4244
KS
104100000X
Social Worker
4244
KS
Other
Enumeration date
06/10/2007
Last updated
08/02/2007
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