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Individual

ROBYN LYN POTANAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3808
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11819085
CAQH
KS
05
200527730A
KS
01
870332
KANSAS BC/BS
KS
Enumeration date
10/30/2007
Last updated
09/23/2008
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