Individual
CASSONDRA LYNN KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3525 S DUNCAN, NEWTON, KS 67114
(785) 212-0350
Mailing address
404 ESTELLE AVE, NEWTON, KS 67114-3257
(785) 212-0350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4182
KS
1041C0700X
Clinical Social Worker
65270
TX
Other
Enumeration date
05/27/2010
Last updated
07/19/2023
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