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Individual

ALICIA MARIE LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
901 KENTUCKY ST STE 306, LAWRENCE, KS 66044-2858
(785) 393-2566
(785) 371-1235
Mailing address
901 KENTUCKY ST, SUITE 306, LAWRENCE, KS 66044-2823
(785) 393-2566
(785) 371-1235

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6529
KS
1041C0700X
Clinical Social Worker
Primary
4295
KS
1041C0700X
Clinical Social Worker
6529
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200439170C
KS
Enumeration date
03/29/2007
Last updated
09/09/2016
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