Individual
JULIAN VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 DAVIS RD, LAWRENCE, KS 66046-3233
(785) 382-5760
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10720
KS
Other
Enumeration date
12/26/2017
Last updated
03/17/2018
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