Individual
AMANDA MARIE COONROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 232-5005
(785) 232-0160
Mailing address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 232-5005
(785) 232-0160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6853
KS
1041C0700X
Clinical Social Worker
Primary
4398
KS
Other
Enumeration date
12/03/2007
Last updated
01/07/2015
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