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Individual

WILLIAM J FERNHOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
10977 GRANADA LN, SUITE 250, OVERLAND PARK, KS 66211-1468
(913) 416-4796
Mailing address
7707 W 90TH TER, OVERLAND PARK, KS 66212-2107
(913) 416-4796

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
8148
KS
1041C0700X
Clinical Social Worker
Primary
4418
KS

Other

Enumeration date
04/15/2013
Last updated
07/09/2015
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