Individual
JOSEPH MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 N 159TH ST E, WICHITA, KS 67230-7704
(316) 512-1185
Mailing address
1200 S HILLTOP RD, DERBY, KS 67037-3407
(316) 390-0189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW12215
KS
Other
Enumeration date
11/01/2021
Last updated
08/21/2023
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