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2201 Sw 29th Street Topeka KS 66611-1908 | |
| (785) 266-6503 | |
| (785) 266-6546 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2201 Sw 29th Street, Topeka, Kansas |
| Authorized Official Name and Position | Renee Dorothy Rodgers (PRESIDENT) |
| Authorized Official Contact | 7852666503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2201 Sw 29th Street Topeka KS 66611-1908 Ph: (785) 266-6503 | 2201 Sw 29th Street Topeka KS 66611-1908 Ph: (785) 266-6503 |
| NPI Number | 1366484669 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 04/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366484669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2319 (Kansas) | Primary |
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