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Individual

RICHARD E HEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
17956 DONAHOO RD, TONGANOXIE, KS 66086-5313
(913) 724-4200
Mailing address
17956 DONAHOO RD, TONGANOXIE, KS 66086-5313
(913) 724-4200

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW0386
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LMSW0386
STATE OF KANSAS BEHAVIORAL SCIENCES REGULATORY BOARD
KS
Enumeration date
01/31/2023
Last updated
01/31/2023
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