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1356572309
JEANETTE DIEDERICH
WICHITA, KS
NPI
1356572309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 5676)
Enumeration Date
2009-08-06
Last Update Date
2009-11-23
Business Address
Ms. JEANETTE DIEDERICH LSCSW
560 N EXPOSITION ST
WICHITA, KS 67203-5902
Phone number: 316-264-8317
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Mailing Address
Ms. JEANETTE DIEDERICH LSCSW
4505 E 47TH ST S
WICHITA, KS 67210-1651
Phone number: 316-529-9100
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