Individual
MRS. KIMBERLY NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
313 W AUTUMN BLAZE CIR, GODDARD, KS 67052-8468
(316) 730-9460
Mailing address
313 W AUTUMN BLAZE CIR, GODDARD, KS 67052-8468
(316) 730-9460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW6224
KS
Other
Enumeration date
05/25/2023
Last updated
05/26/2023
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