Individual
MIKAYLA SOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(913) 904-8850
Mailing address
10800 W 115TH PL, OVERLAND PARK, KS 66210-3837
(913) 904-8850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12643-T
KS
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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