Individual
JOHN ROBERT DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E CEDAR ST, OLATHE, KS 66061-4416
(913) 393-3828
Mailing address
1199 E SANTA FE ST LOT 309, GARDNER, KS 66030-1546
(785) 342-6622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5259
KS
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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