Petersen, Gwendolyn Jean

Petersen, Gwendolyn Jean is an individual health care provider with primary practice located at 3649 Sw Burlingame Rd , Topeka KS 66611-2051. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Petersen, Gwendolyn Jean can be contacted via phone (785) 266-6751.

Contact Information

Primary practice address
3649 Sw Burlingame Rd Topeka KS 66611-2051
Phone: (785) 266-6751
Fax: (785) 266-4533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2390 Kansas

Profile Details

NPI number 1841263712
LBN Legal business name Petersen, Gwendolyn Jean
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841263712 NPPES
Kansas Other P00183371 RAILROAD MEDICARE

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