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Individual

ELLENA HINCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4024 W 74TH ST, PRAIRIE VILLAGE, KS 66208-2943
(191) 337-2236
Mailing address
6300 HEDGE LANE TER APT 202, SHAWNEE, KS 66226-4810
(660) 287-8038

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/10/2025
Last updated
04/10/2025
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