| Mandle Ozbun Professional Development, Llc | |
|
1201 Wakarusa Dr Suite E2 Lawrence KS 66049-4722 | |
| (785) 207-0944 | |
| (785) 856-0655 |
| Full Name | Mandle Ozbun Professional Development, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1201 Wakarusa Dr, Lawrence, Kansas |
| Authorized Official Name and Position | Shannon Mandle Ozbun (DIRECTOR/MEMBER) |
| Authorized Official Contact | 7852070944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandle Ozbun Professional Development, Llc 1201 Wakarusa Dr Suite E2 Lawrence KS 66049-4722 Ph: (785) 207-0944 | Mandle Ozbun Professional Development, Llc 1201 Wakarusa Dr Suite E2 Lawrence KS 66049-4722 Ph: (785) 207-0944 |
| NPI Number | 1477713832 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477713832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1075 (Kansas) | Primary |
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