Individual
MADELINE GRACE BIRDASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(785) 856-0322
Mailing address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(785) 856-0322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12585
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740842277
—
KS
Enumeration date
07/01/2022
Last updated
07/01/2022
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