Individual
JOHN BOMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 830-1841
Mailing address
200 MAINE ST, LAWRENCE, KS 66044-1368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10240
KS
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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