Individual
SOPHIE ROSE PETERSON ENSLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 W MOCKINGBIRD ST, GARDNER, KS 66030-1762
(913) 963-6398
Mailing address
340 W MOCKINGBIRD ST, GARDNER, KS 66030-1762
(913) 963-6398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW13307
KS
Other
Enumeration date
08/15/2024
Last updated
02/11/2025
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