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NPI Code Detail

MEDICARE: JENNIFER REBECCA MAUER LMSW

MEDICARE:   JENNIFER REBECCA MAUER  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLMSW12418KS

General Provider Information

NPI Number : 1093542854
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER REBECCA MAUER LMSW
Provider Business Mailing Address
First Line : 2955 SW WANAMAKER DR STE B
Second Line :
City : TOPEKA
State : KS
Zip : 66614-5341
Country : US
Telephone Number : 785-438-9434
Fax Number : 316-226-8648
Provider Business Practice Location Address
First Line : 2955 SW WANAMAKER DR STE B
Second Line :
City : TOPEKA
State : KS
Zip : 66614-5341
Country : US
Telephone Number : 785-438-9434
Fax Number : 316-226-8648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 09/16/2024

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Directions to “ JENNIFER REBECCA MAUER LMSW” Practice Location

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