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Individual

MR. WELLINGTON ROY SAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
430 MAPLE ST, JUNCTION CITY, KS 66441-3836
(913) 636-5459
Mailing address
430 MAPLE ST, JUNCTION CITY, KS 66441-3836
(913) 636-5459

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10251
KS

Other

Enumeration date
01/02/2017
Last updated
01/02/2017
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