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Organization
KRISTINE MCIVER JOHNSON PHD LLC
Active
Organization
KRISTINE MCIVER JOHNSON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE MCIVER JOHNSON PHD (OWNER)
(785) 218-4426
Entity
Organization
Contact information
Practice address
1201 WAKARUSA DR BLDG E, LAWRENCE, KS 66049
(785) 218-4426
Mailing address
1105 JANA CT, LAWRENCE, KS 66049-4417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1118
KS
Other
Enumeration date
05/08/2018
Last updated
01/03/2019
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