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Organization

KVC BEHAVIORAL HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL MARIE SHARP MA LPA (DIVERSION SPECIALIST)
(859) 254-1035
Entity
Organization

Contact information

Practice address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 332-4900
(913) 780-1284
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 332-4900
(913) 780-1284

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013-07
KY

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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