Individual
JARED SAMUEL OHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLMLP
Contact information
Practice address
217 W IRA CT, ANDOVER, KS 67002-9469
(316) 733-5047
Mailing address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2986
KS
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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