Individual
JONATHAN MARK HERRERA-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1301 RHODE ISLAND ST, LAWRENCE, KS 66044-3579
(785) 221-4077
Mailing address
1301 RHODE ISLAND ST, LAWRENCE, KS 66044-3579
(785) 221-4077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9780
KS
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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