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Individual

ELAINA SUSAN PIVOVAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11111 NALL AVE STE 102, LEAWOOD, KS 66211-1622
(913) 295-9800
Mailing address
4104 SPOOK ROCK WAY APT 101, MANHATTAN, KS 66502-6888
(913) 544-6297

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03255-T
KS

Other

Enumeration date
04/20/2021
Last updated
04/20/2021
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