Individual
JUSTIN M GUDENKAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 845-9790
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 843-9192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10952
KS
Other
Enumeration date
07/11/2018
Last updated
10/16/2019
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