Individual
STEPHANIE BROTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1537 S 5TH ST E, LOUISBURG, KS 66053-4186
(913) 548-6322
Mailing address
PO BOX 677, OTTAWA, KS 66067-0677
(913) 557-9096
(913) 294-9247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 9316
KS
1041C0700X
Clinical Social Worker
Primary
05750LSCSW
KS
Other
Enumeration date
09/25/2014
Last updated
11/15/2024
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