Provider Information for 1053477745
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Ms. CAROLYN W WESTGATE M.S.Ed. L.C.P.C.
Sex: Female
NPI: 1053477745
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1053477745 | ||||||||
| Enumeration Date | 2006-12-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 206 S JEFFERSON AVE IOLA, KS 66749-3353 United States Phone: 620-365-3404 | Fax:620-365-6434 | ||||||||
| Primary Practice Address | 206 S JEFFERSON AVE IOLA, KS 66749-3353 United States Phone: 620-365-3404 | Fax:620-365-6434 | ||||||||
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