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Individual

ADAM FREDERICK TIMBERLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
413 E SANTA FE ST, OLATHE, KS 66061-3445
(913) 254-0001
Mailing address
413 E SANTA FE ST, OLATHE, KS 66061-3445
(913) 254-0001

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7538
KS

Other

Enumeration date
08/28/2009
Last updated
08/28/2009
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