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Individual

MRS. KERRI CHRISTINA KHATIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC,LBSW

Contact information

Practice address
1625 SAINT ANDREWS DR, LAWRENCE, KS 66047-1701
(785) 423-0007
(785) 296-0256
Mailing address
1625 SAINT ANDREWS DR, LAWRENCE, KS 66047-1701
(785) 423-0007
(785) 296-0256

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC526
KS
104100000X
Social Worker
LBSW4079
KS

Other

Enumeration date
03/03/2014
Last updated
03/03/2014
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