Individual
JULIA SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
601 N MUR LEN RD BLDG 11, OLATHE, KS 66062-5431
(913) 210-0636
Mailing address
601 N MUR LEN RD BLDG 11, OLATHE, KS 66062-5431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW12076
KS
Other
Enumeration date
09/01/2021
Last updated
12/04/2024
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