| Richelle J. Stroup | |
|
2800 N Forest Park St Derby KS 67037-7912 | |
| (316) 250-0970 | |
| Not Available |
| Full Name | Richelle J. Stroup |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2800 N Forest Park St, Derby, Kansas |
| Authorized Official Name and Position | Richelle J. Stroup (SOCIAL WORKER) |
| Authorized Official Contact | 3162500970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richelle J. Stroup 2800 N Forest Park St Derby KS 67037-7912 Ph: () - | Richelle J. Stroup 2800 N Forest Park St Derby KS 67037-7912 Ph: (316) 250-0970 |
| NPI Number | 1609269281 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609269281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMSW 7669 (Kansas) | Primary |
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