Individual
KIMBERLY HOUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 SUMMERLON CIR, DODGE CITY, KS 67801-2985
(620) 225-7146
Mailing address
2201 SUMMERLON CIR, DODGE CITY, KS 67801-2985
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8342
KS
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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