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Individual

KATHERINE SUE BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
4105 W 6TH ST, STE B10, LAWRENCE, KS 66049-4696
(785) 840-0374
(785) 424-7684
Mailing address
4105 W 6TH ST, STE B10, LAWRENCE, KS 66049-4696
(785) 840-0374
(785) 424-7684

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
142
KS
1041C0700X
Clinical Social Worker
Primary
3796
KS

Other

Enumeration date
04/13/2007
Last updated
08/17/2016
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