Individual
MARCELLA J. KILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
101 E 1ST AVE, HUTCHINSON, KS 67501-7147
(620) 921-1029
Mailing address
10419 N TOBACCO RD, HUTCHINSON, KS 67502-8684
(620) 921-1029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5977
KS
1041C0700X
Clinical Social Worker
Primary
3862
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098120A
—
KS
Enumeration date
09/17/2006
Last updated
02/12/2015
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