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Individual

DOROTHY R HORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LMAC

Contact information

Practice address
105 E AMITY ST, LOUISBURG, KS 66053-4076
(913) 837-4653
(913) 837-4776
Mailing address
105 E AMITY ST, LOUISBURG, KS 66053-4076
(913) 837-4653
(913) 837-4776

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
827
KS
104100000X
Social Worker
11037
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11037
PRIVATE INSURANCE
KS
01
827
PRIVATE INSURANCE
KS
Enumeration date
11/13/2020
Last updated
11/13/2020
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