Individual
MS. REBECCA J. WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
600 THOMAS ST, WESTON, MO 64098-1234
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6240
KS
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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