Individual
MARJORIE P OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
29875 W 339TH ST, OSAWATOMIE, KS 66064-4159
(913) 755-4357
Mailing address
29875 W 339TH ST, OSAWATOMIE, KS 66064-4159
(913) 755-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
603
KS
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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