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Individual

KENDAL JAY CARSWELL SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW, LCAC

Contact information

Practice address
500 E THORPE ST, LAKIN, KS 67860-9625
(785) 355-7112
(785) 355-8636
Mailing address
500 E THORPE ST, LAKIN, KS 67860-9625
(785) 355-7112
(785) 355-8636

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001
KS
104100000X
Social Worker
Primary
5645
KS

Other

Enumeration date
09/11/2015
Last updated
09/11/2015
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