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Individual

BRETT ALLYN LONGMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4000
(913) 826-1589
Mailing address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 8950
KS

Other

Enumeration date
09/06/2013
Last updated
09/06/2013
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