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Individual

TANYA MICHELLE BARUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
222 SOUTHWIND PL, MANHATTAN, KS 66503-3123
(785) 560-3101
Mailing address
1913 M ST, BELLEVILLE, KS 66935-2238
(785) 527-8271

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5041
KS

Other

Enumeration date
05/04/2022
Last updated
05/04/2022
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