Individual
MISTY KEOLAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
500 REFORMATORY ST, HUTCHINSON, KS 67501-3081
(620) 662-2321
Mailing address
628 HIGH PLAINS CIR, MAIZE, KS 67101-9309
(316) 655-3881
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4421
KS
Other
Enumeration date
03/17/2008
Last updated
07/10/2024
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