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Individual

DENISE MARIE HUNDERTMARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
2606 N FLEMING ST STE 2, GARDEN CITY, KS 67846-3254
(620) 647-4921
(620) 628-2592
Mailing address
2606 N FLEMING ST STE 2, GARDEN CITY, KS 67846-3254
(620) 647-4921
(620) 628-2592

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05614
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200381960C
KS
Enumeration date
03/21/2012
Last updated
11/03/2023
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