BRENDA STARKS FONSECA

LEAVENWORTH, KS
NPI1023870110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: KS  2371)
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
BRENDA STARKS FONSECA LSCSW
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2999
Mailing Address
BRENDA STARKS FONSECA LSCSW
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: