Individual
MR. DERRICK LANCE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
104100000X
Social Worker
6866
KS
1041C0700X
Clinical Social Worker
Primary
4366
KS
Other
Enumeration date
11/06/2007
Last updated
04/16/2024
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