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1528686037
SHANNON ROSE INDIEK
DODGE CITY, KS
NPI
1528686037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: KS 11762)
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
Mrs. SHANNON ROSE INDIEK LMSW
2006 1ST AVE
DODGE CITY, KS 67801-2623
Phone number: 620-371-6548
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Mailing Address
Mrs. SHANNON ROSE INDIEK LMSW
PO BOX 88
SPEARVILLE, KS 67876-0088
Phone number: 620-385-0427
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