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Individual

LANIE GUYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LMAC

Contact information

Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
Mailing address
602 MERTON ST LOT 14, SENECA, KS 66538-2280

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KS
104100000X
Social Worker
Primary
9993
KS

Other

Enumeration date
05/08/2018
Last updated
05/08/2018
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