Individual
MS. CECILIA IRENOSEN IBOAYA-WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(800) 952-8387
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(800) 952-8387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005256
MO
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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