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1023870110
BRENDA STARKS FONSECA
LEAVENWORTH, KS
NPI
1023870110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 2371)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
BRENDA STARKS FONSECA LSCSW
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2999
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Mailing Address
BRENDA STARKS FONSECA LSCSW
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number:
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