Individual
JASON RAMADAN KHOMSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
T-LMSW
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Mailing address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9433
KS
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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