Individual
VIVIAN L MUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1421 RURAL ST, EMPORIA, KS 66801-5543
(620) 343-1161
Mailing address
1421 RURAL ST, EMPORIA, KS 66801-5543
(620) 343-1161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW4222
KS
Other
Enumeration date
03/13/2007
Last updated
07/09/2007
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