Individual
MRS. GLORIA J CHEDIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, BCD, DCSW
Contact information
Practice address
601 MISSOURI ST, STE 1, LAWRENCE, KS 66044-2353
(785) 841-7430
(785) 841-6411
Mailing address
601 MISSOURI ST, STE 1, LAWRENCE, KS 66044-2353
(785) 841-7430
(785) 841-6411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
156
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011116
BLUE CROSS BLUE SHIELD
KS
Enumeration date
03/22/2007
Last updated
07/08/2007
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