Individual
RICKY DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 DELAWARE ST, LAWRENCE, KS 66046-3149
(913) 306-4288
Mailing address
2125 DELAWARE ST, LAWRENCE, KS 66046-3149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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