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Individual

JOHN BJERUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 772-6320
(316) 383-7925
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7242
KS
1041C0700X
Clinical Social Worker
Primary
4909
KS

Other

Enumeration date
09/16/2008
Last updated
06/17/2024
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