Individual
MRS. GLORIA ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KS SRS / AAPS
Contact information
Practice address
207 W SPRUCE, DODGE CITY, KS 67801
(620) 227-3292
Mailing address
207 W SPRUCE, DODGE CITY, KS 67801
(620) 227-3292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
KS AAPS
KS
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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