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1487303103
MARLENE RUBY IBARRA
WICHITA, KS
NPI
1487303103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 12439-T)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
MARLENE RUBY IBARRA
8335 E KELLOGG DR
WICHITA, KS 67207-1839
Phone number: 316-711-7135
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Mailing Address
MARLENE RUBY IBARRA
2400 W SAINT LOUIS ST
WICHITA, KS 67203-5114
Phone number: 316-214-3822
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