Individual
LUANN DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2588
Mailing address
1202 4TH TERRACE DR, LARNED, KS 67550-3307
(316) 617-8697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4988
KS
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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