Individual
MS. STACY LYNN KRENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, QCSW
Contact information
Practice address
1613 SW 37TH ST, TOPEKA, KS 66611-2627
(785) 231-0795
(785) 267-1525
Mailing address
640 NW 35TH ST, TOPEKA, KS 66617-1706
(785) 231-0795
(785) 267-1525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7044
KS
Other
Enumeration date
02/07/2008
Last updated
12/26/2012
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