Organization
MANDLE OZBUN PROFESSIONAL DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON MANDLE OZBUN LSCSW (DIRECTOR/MEMBER)
(785) 207-0944
Entity
Organization
Contact information
Practice address
1201 WAKARUSA DR, SUITE E2, LAWRENCE, KS 66049-4722
(785) 207-0944
(785) 856-0655
Mailing address
1201 WAKARUSA DR, SUITE E2, LAWRENCE, KS 66049-4722
(785) 207-0944
(785) 856-0655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1075
KS
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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