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Individual

JESSICA LYNN ALLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSESW

Contact information

Practice address
3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICES LLC, SUITE 104, LAWRENCE, KS 66049
(785) 371-1414
(785) 371-4519
Mailing address
3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICES LLC, SUITE 104, LAWRENCE, KS 66049
(785) 371-1414
(785) 371-4519

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10948
KS
1041C0700X
Clinical Social Worker
Primary
05414
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201203780A
KS
Enumeration date
06/20/2018
Last updated
05/16/2022
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