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Individual

BEVERLY JEAN WEBER COBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3829 SW WOOD VALLEY DR, TOPEKA, KS 66610-1124
(785) 845-6249
Mailing address
3501 SW WELTON GROVE CIR, TOPEKA, KS 66610-1489
(785) 845-6249

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
KS

Other

Enumeration date
06/11/2020
Last updated
06/11/2020
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