| Branches Of Life Llc | |
|
1 Fleetwood Dr Winfield KS 67156-5429 | |
| (620) 229-2442 | |
| Not Available |
| Full Name | Branches Of Life Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Fleetwood Dr, Winfield, Kansas |
| Authorized Official Name and Position | Sharon S Shepard (MEMBER MANAGER) |
| Authorized Official Contact | 6202292442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Life Llc 1 Fleetwood Dr Winfield KS 67156-5429 Ph: (620) 229-2442 | Branches Of Life Llc 1 Fleetwood Dr Winfield KS 67156-5429 Ph: (620) 229-2442 |
| NPI Number | 1114386810 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114386810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2267 (Kansas) | Primary |
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