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Individual

MR. DANIEL JOSEPH COLOMBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 271-2627
Mailing address
508 MAPLE LN, LANSING, KS 66043-6223
(913) 271-2627

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
425
KS
1041C0700X
Clinical Social Worker
Primary
4914
KS

Other

Enumeration date
04/21/2010
Last updated
01/11/2024
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