Organization
LINES PSYCHOTHERAPY AND HOME STUDIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M LINE MSW (PSYCHOTHERAPY)
(620) 669-0902
Entity
Organization
Contact information
Practice address
1714 E 30TH AVE, SUITE B, HUTCHINSON, KS 67502-1262
(620) 669-0902
(620) 663-5198
Mailing address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 669-2396
(620) 669-2394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1392
KS
1041C0700X
Clinical Social Worker
259
KS
Other
Enumeration date
05/17/2011
Last updated
08/12/2011
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