# MANDLE OZBUN PROFESSIONAL DEVELOPMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477713832
- **Authorized official:** DR. SHANNON MANDLE OZBUN LSCSW (DIRECTOR/MEMBER)
- **Authorized official phone:** (785) 207-0944

## Contact information

- **Practice address:** 1201 WAKARUSA DR, SUITE E2, LAWRENCE, KS 66049-4722
- **Practice address phone:** (785) 207-0944
- **Practice address fax:** (785) 856-0655
- **Mailing address:** 1201 WAKARUSA DR, SUITE E2, LAWRENCE, KS 66049-4722
- **Mailing address phone:** (785) 207-0944
- **Mailing address fax:** (785) 856-0655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1075 | KS | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008